License Renewal

2009 Chiropractic License Renewal Information and Instructions

This version of the 2009 License Renewal Application is a PDF document that may be filled out electronically. If you choose to complete the application electronically, please remember to sign it once you print it out. You may also print the application and complete it by hand. Applications must be postmarked by January 1, 2009

We now accept VISA and Mastercard! If paying by credit card, you must indicate the card type, card number and expiration date on your application. If your application is received postmarked after January 1, 2009 your credit card will be charged an additional $150 penalty fee. Your signature on the application indicates your authorization for payment.

There is NO grace period for renewal. Many of you mail your renewal application from a post office on December 31; however, these envelopes are frequently postmarked January 2. Applications postmarked after January 1 will be automatically returned to you and assessed a $150 penalty fee.

Incomplete renewal applications will be returned to you indicating the reason for the return. If the application is not resubmitted postmarked by January 1, a $150 penalty fee will be assessed.

If you need your renewal card by January 1 you must submit your completed license renewal application to the Board office at least 3 weeks prior to January 1. You may wish to consider sending your application via guaranteed mail to ensure timely delivery.

If You Live AND Practice Out of State - You may achieve all CE outside the state of Ohio. All CE credit earned must follow the guidelines of Categories 1, 2 and 3.

To Inactivate or Retire Your License
If you would like to inactivate or retire your license, complete the application and check the "Inactive" or "Retired" box on question 7. No fee or proof of CE is required to inactivate or retire your license. Return the completed application to the Board office postmarked by January 1, 2009. A letter will be sent to you confirming your inactive or retired status. If you are inactive or retired you are not permitted to practice chiropractic in the state of Ohio. If you wish to reactivate your license at a later date, contact the Board office for reinstatement instructions.

The following could result in discipline and/or a fine of up to $2,500:

Making a false, fraudulent, or deceitful statement on your License Renewal Application
Falsifying your continuing education records
Failing to maintain your continuing education records for three years

Continuing Education Audit
If your application is selected for audit, you will receive notice in writing. You will be given thirty days to submit documentation of your CE. The documentation you provide must match the CE you attested to on your renewal application.

You are required to retain verification of the CE credit you earn in Categories 1, 2 and 3. Category 1 and 2 CE documentation must be issued by the sponsor. Documentation for Category 3 CE must be detailed. If you read journals or publications, document the title, date, publisher and time spent reading. If you attend a seminar or earn on-line continuing education, you need some form of written verification for your records.

Question (1)
Please read this question carefully and identify ALL facilities that are relevant.

If you have additional locations to report you must provide this information on question (8) on the back of the application or on a separate sheet of paper. You must provide the same information that is requested for question (1).

Questions (4) & (5)
If you answer "yes" to either of these questions you must provide detailed information. For question (4) you must provide a full explanation regarding the action taken against you and by what entity.

For question (5) you must provide a full explanation of the circumstances, the party or parties involved, name of the court, case number, charge(s), dates and dispositions. If you have copies of the court records in your possession, attach copies to the application.

Question (6)
You must attest to completing a minimum of 24 hours of continuing education. If the hours attested to do not add up to 24 or you do not fill in all of the blanks, your application will be returned. If applicable, the $150 late fee will be assessed.

You must earn a minimum of 12 hours from a Category 1 and/or 2 seminar. The second 12 hours may be earned in Category 1, 2 or 3. You are required to document these hours in the spaces provided for each category. If you live and practice in Ohio, out of state seminars may only be documented under Category 3.

DO NOT send your certificates or proof of attendance with your application. This information will be requested if you are audited. Please note that you are required to keep proof of continuing education for no less than three full renewal cycles.

If you have any further questions about the renewal application or continuing education, you may contact the board office at (614) 644-7032 or visit our website at www.chirobd.ohio.gov.