Fees & Forms
Below is a list of fees with links to the appropriate application, form, or online service. If you are unable to access the service you are looking for, please contact the Board.- Doctor of Chiropractic - Application $300
- Doctor of Chiropractic - Active Renewal $250
- Doctor of Chiropractic - Renewal Late Penalty $150 per month
- Doctor of Chiropractic - Voluntarily Retirement Application
- Doctor of Chiropractic - Emeritus Application
- Doctor of Chiropractic - Reinstatement from Board Terminated $100*
- Doctor of Chiropractic - Reinstatement from Voluntarily Retired Application
- Acupuncture - Application $200
- Acupuncture - Active Renewal $100
- Acupuncture - Reinstatement from Canceled $100*
- Animal Chiropractic - Application $200
- Animal Chiropractic - Active Renewal $100
- Animal Chiropractic - Reinstatement from Canceled $100*
- Graduate Preceptorship Program $250
- Independent Examiner - Application $200
- Independent Examiner - Renewal $100
- Independent Examiner - Reinstatement from Canceled $200*
- Professional Firm - Application $100
- Professional Firm - Renewal $25
- Professional Firm - Renewal Late Penalty $5 per month
- Continuing Education - Annual Sponsor $600
- Continuing Education - Annual Sponsor Course Schedule
- Continuing Education - Individual Seminar Sponsor $200
- Continuing Education - Audit Penalty up to $900 per year
- Continuing Education - Summary for Audit
- Continuing Education - Summary for Audit Instructions
- Continuing Education - Waiver or Deferment
* This fee does not represent all requirements for reinstatement. Contact the Board for more information.
Miscellaneous Fees & Forms
- Address, Phone or Email Changes
- Chiropractic Complaint Form
- Civil Penalties up to $10,000 per violation
- Copies $0.25 per page
- Duplicate Certificate $20
- License Verification $20
- Mailing List $200
- Name Change Request Form (must include original/certified documentation and be submitted in person or by U.S. Mail)
- NSF Service Charge $30
- Rule Variance Request