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Initial Applications
| Interactive
Forms Below: |
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Here for the Interactive Forms
Instructions |
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Chiropractic
License Application, #08-0672, Revised
05/18/10. Application for licensure by examination or by licensure by credentials. |
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Courtesy
License Application, #08-4500,
Revised 4/6/05. Application for out-of-state Chiropractic Physicians working at sporting venues (i.e., Olympics, etc.)
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Chiropractic
Application for Locum Tenens Permit,
#08-4319, Revised 01/03/08. Application for out-of-state chiropractic physicians substituting in an Alaska licensed chiropractic practice. |
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Chiropractic
Specialty Designation Application,
#08-4061, Revised 2/23/05. |
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Applications
may be viewed and
printed with Adobe
Acrobat Reader
6.0 or higher.
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Adobe Acrobat Reader
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If you are unable
to view or download
an application,
please contact
us by telephone
or e-mail. Providing
your complete mailing
address will enable
us to mail you
the application.
Other
application forms
may be mailed to
you or picked up
at a division office.
Completed applications
must be signed
and submitted to
the division with
the appropriate
fees.
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