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Address / Name Change

Per Minnesota Rule 2500.1105, licensees must notify the MN Board of Chiropractic Examiners (MBCE) within 30 days of any name or address change.  Name changes require additional legal documentation (i.e. certified copy of the marriage certificate or court order authorizing the name change).  Failure to notify the Board may create difficulties receiving renewal and other important notices; and is considered a violation of the Practice Act.

There are two ways in which you may update your address, email or phone number.  
1. Login online and update your information: Address Change Online
2. Download the paper form, fill it out, have it notarized and mail it to the Board: Address Change by Paper

Due to the certified documentation required, a name change request may only be processed by paper:  Name Change Form

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