Virginia
Chiropractic Information
Virginia Chiropractic Summary
Practice of chiropractic” means the adjustment of the 24 movable vertebrae of the spinal column, and assisting nature for the purpose of normalizing the transmission of nerve energy, but does not include the use of surgery, obstetrics, osteopathy, or the administration or prescribing of any drugs, medicines, serums, or vaccines.
Licensing Requirements
Post-Licensing Education
Continuing Education requirements
60 hours required every licensing period. All hours may be earned online.
requirements for educators
NONE
Are PACE courses accepted for continuing education requirements?
YES
Virginia requires examinations through the National Board of Chiropractic Examiners
Part I, Part II, Part III, Part IV, Physiotherapy, Acupuncture, NBCE Spec – Required
State Chiropractic Online Resources
Regulatory Authority
Virginia Department of Health Professions Board of Medicine https://www.dhp.virginia.gov/Boards/Medicine/AbouttheBoard/RegulatedProfessions/Chiropractor/
Chiropractic Statutes and Regulations
Laws Governing Medicine https://www.dhp.virginia.gov/media/dhpweb/docs/med/leg/Chapter29Medicine_2024.pdf
Regulations Governing the Practice of Medicine, Osteopathic Medicine, Podiatry, and Chiropractic https://www.dhp.virginia.gov/media/dhpweb/docs/med/leg/Medicine.pdf
State Government Resources
State Legislature Homepage
State Legislature Bill Search Tool
Legislative member roster
State Governor's Office
Secretary of State
Office of the Insurance Commissioner
State Associations
State Chiropractic Coverage
Worker’s Compensation
Virginia Workers’ Compensation Commission https://workcomp.virginia.gov/
Workers’ Comp Health Care Providers https://workcomp.virginia.gov/content/medical-providers
Workers’ Comp Fee Schedule https://workcomp.virginia.gov/content/medical-fee-services-mfs
Medicaid
State Medicaid Program Information https://www.dmas.virginia.gov/
State Medicaid Provider Enrollment https://www.dmas.virginia.gov/for-providers/provider-enrollment-revalidation/
Practice Options
| Perform extremity adjustments? | Y |
| Provide nutritional advice? | Y |
| Provide manipulation under anesthesia? | N/A |
| Provide school enrollment exams? | N/A |
| Provide sports physical exams? | Y |
| Provide return to play exams (including concussion protocol) for sports participation? | N |
| Perform US Department of Transportation exams? | Y1 |
| Treat animals? | N |
| Perform acupuncture? | Y2 |
| Perform dry needling? | Y3 |
| Perform intraoral TMJ treatments? | Y |
| Perform internal coccyx adjustments? | Y |
| Are there limits to body areas DCs are allowed to examine and/or treat? | N/A |
| Are there limits on diagnostic tools DCs are allowed to use? | N/A |
| Perform venipuncture? | N |
| Perform casting? | N/A |
Qualifications:
1. A chiropractor can perform a Department of Transportation (DOT) physical exam if they are a certified medical examiner (CME) listed on the Federal Motor Carrier Safety Administration’s (FMCSA) National Registry.
2. They must complete 200 hours of chiropractic acupuncture training from a CCE-accredited organization.
3. Chiropractors must have clinical training as part of their doctoral education or have attended a CCE-accredited college program for at least 12 hours.