Board of Chiropractic Examiners

When completing the application process below, you will be required to submit an official transcript from the institution where you completed your education. The transcript must be mailed directly from the educational institution to the board office located at 665 Mainstream Drive, Nashville, TN 37243.

Applications

► Applying for initial licensure from your professional licensing board has become a bit easier.  For the past year, the Department of Health has been working on an online application process that will allow all health care professionals to apply online for an initial license and complete (and update as necessary) a practitioner profile mandatory for certain professions.  The process is user friendly and convenient and even allows you to pay for your initial application utilizing a credit card, debit card or e-check.  You will also be able to upload many of the documents required to complete your initial application!  Please go to the initial application link below to begin the online process.

Portability Act for Military and Military Spouse with transfer orders to Tennessee

Please fill out the application below and email it to Unit2HRB.Health@tn.gov with a copy of the military orders

• Portability Act Application

Other applications:

• Application and Procedures for Licensure as a Chiropractic X-Ray Technologist    (Paper application click here)
• Application and Procedures for Licensure as a Chiropractic Therapy Assistant    (Paper application click here )
• Application and Procedures for Licensure as a Chiropractor   (PH-3545, paper application click here)
• Mandatory Practitioner Profile Questionnaire for Licensed Health Care Providers (PH-3585 paper applciation click here)
• CTAs/CXTs Clinical Internship Supervision Hours Report and Log Sheet - 8.15.2017
• Application for a Temporary/Externship License (PH-0000 , paper application click here)
• Declaration of Citizenship (PH-4183)
• Declaration of Eligibility for Expedited Licensure Process for a Military Member (PH-4279 , paper application click here)
• Expedited Licensure for Military Spouses Form (PH-4280 , paper application click here)
• Reinstatement Application (PH-4049 )
• Name and Address Change Request (PH-3619)
• Affidavit of Retirement From Practice in Tennessee (PH-3460)
• Application for Chiropractic Preceptor Program
• Acupuncture Education Verification Form (PH-0000 , paper application click here)
• Criminal Background Checks