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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 Licensure by
Examination, #08-0672, Revised
06/13/08.
This form may be completed online with Adobe Acrobat 5.0 or higher, then printed, signed and mailed. |
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Chiropractic
License Application Licensure by
Credentials, #08-4318, Revised 01/28/09.
This form may be completed online with Adobe Acrobat 5.0 or higher, then printed, signed and mailed. |
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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.
This form may be completed online with Adobe Acrobat 5.0 or higher, then printed, signed and mailed. |
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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.
If you do not have
Adobe Acrobat Reader
6.0 or higher,
please click on
the Adobe logo
and download the
free software now.
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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