Forms

Forms shown below may be downloaded in Adobe Acrobat Format, and some forms may be filled out online and then printed. If you don't have Adobe Acrobat Reader, you may download it at no cost from Adobe Acrobat. Please click on the form you need. 

Services that are completed online, do not have a paper option. If the form you want is not listed below, log into your online account to see if it is an online function.

You may contact the Board with questions at 651-201-2850.

Acupuncture Forms
Acupuncture Initial Application Acupuncture Reinstatement from Inactive Acupuncture Reinstatement from Lapsed/Unrenewed
Animal Chiropractic Forms
Animal Chiropractic Initial Application  Animal Chiropractic Reinstatement Application
Continuing Education Forms
CE Summary for Audit  CE Summary for Audit instructions CE Annual Sponsor Application CE Annual Sponsor Course schedule CE Individual Sponsor Application CE Waiver-Deferment Request Form
Complaint Forms
Chiropractic Complaint Form
Data Forms
Address, phone number, or email changes are completed via your secure online account Name Change Form requires original or certified documentation and must be done in person or by U.S. Mail Mailing List Request Form
Doctor of Chiropractic Forms
Doctor of Chiropractic Application for Inactive Status Doctor of Chiropractic Reinstatement from Inactive Doctor of Chiropractic Application for Voluntarily Retired Status Doctor of Chiropractic Reinstatement from Voluntarily Retired Doctor of Chiropractic Application for Emeritus Status
Graduate Preceptorship Forms
Graduate Preceptorship Application - Preceptor and Extern
Independent Examiner Forms
Independent Examiner Application
Miscellaneous
Board Statutes Board Rules Records - Maximum Allowable Charges
Professional Firm Forms
Professional Firm Application
Variance / Waiver Forms
Rule Variance Request Form CE Waiver or Deferment Request Form