Texas

Chiropractic Information

Texas Chiropractic Summary

The primary objective of the Delaware Board of Chiropractic is to protect the public from unsafe chiropractic practice and practices which tend to reduce competition or fix prices for services. The Board must also maintain standards of professional competence and service delivery.

Practice of chiropractic includes the treatment through manipulation/adjustment of the spine and other skeletal structures. All examinations performed by chiropractors shall be in accordance with the protocol and procedures as taught in the majority of accredited chiropractic colleges.

Licensing Requirements

Bachelor’s Degree Required for Licensure: NO
Renewal Term: Biennial
Chiropractic Physician entitlement: NO
Additional training/certification required for medicine and rehab services? N/A

Post-Licensing Education

Continuing Education requirements

You need 32 Board approved C.E. hours (16 each year) to renew your D.C. license. Each licensee’s reporting year shall begin on the first day of the month in which the licensee’s birthday occurs. Link: http://www.tbce.texas.gov/faq-Education.html

requirements for educators

A sponsor may submit an application no later than 60 days prior to the date of the course, along with a nonrefundable application fee for each course. Link: http://www.tbce.texas.gov/sponsor.html

Are PACE courses accepted for continuing education requirements?

Accepts PACE Precheck

Texas requires examinations through the National Board of Chiropractic Examiners

Part I, Part II, Part III, Part IV, Physiotherapy

State Chiropractic Online Resources

Regulatory Authority

Texas Board of Chiropractic Examiners: http://www.tbce.texas.gov/default.html

 

 

 

Chiropractic Statutes and Regulations

Texas Occupations Code Chapter 201:
https://statutes.capitol.texas.gov/Docs/OC/htm/OC.201.htm

22 Texas Administrative Code, Part 3, Chapters 71-82:
https://texreg.sos.state.tx.us/public/readtac$ext.ViewTAC?tac_view=3&ti=22&pt=3

Solicitation of Patients (Texas Occupations Code Chapter 102):
https://statutes.capitol.texas.gov/Docs/OC/htm/OC.102.htm

Telemedicine and Telehealth (Texas Occupations Code Chapter 111):
https://statutes.capitol.texas.gov/Docs/OC/htm/OC.111.htm

Training Course on Human Trafficking Prevention (Texas Occupations Code Chapter 116):
https://statutes.capitol.texas.gov/Docs/OC/htm/OC.116.htm

Massage Therapy (Texas Occupations Code Chapter 455):
https://statutes.capitol.texas.gov/Docs/OC/htm/OC.455.htm

Medical Radiologic Technologists (Texas Occupations Code Chapter 601):
https://statutes.capitol.texas.gov/Docs/OC/htm/OC.601.htm

Medical Records Privacy (Texas Health and Safety Code Chapter 181):
https://statutes.capitol.texas.gov/Docs/HS/htm/HS.181.htm

Administrative Procedure (Texas Government Code Chapter 2001):
https://statutes.capitol.texas.gov/Docs/GV/htm/GV.2001.htm

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

Texas Chiropractic Association

▶︎ CLICK TO VISIT

State Chiropractic Coverage

Worker’s Compensation

Texas Department of Insurance: https://www.tdi.texas.gov/wc/index.html

Health Care Provider Training and Resources: https://www.tdi.texas.gov/wc/hcprovider/index.html

Workers Comp Fee Schedule and Reimbursement Policy: https://www.tdi.texas.gov/wc/fee/index.html

Medicaid

Practice Options

Perform extremity adjustments? Y
Provide nutritional advice? Y
Provide manipulation under anesthesia? N
Provide school enrollment exams? Y1
Provide sports physical exams? Y2
Provide provide return to play exams (including concussion protocol) for sports participation? Y3
Perform US Department of Transportation exams? Y4
Treat animals? Y5
Perform acupuncture? Y6
Perform dry needling? Y7
Perform intraoral TMJ treatments? Y
Perform internal coccyx adjustments? N/A
Are there limits to body areas DCs are allowed to examine and/or treat? Y8
Are there limits on diagnostic tools DCs are allowed to use? Y9
Perform venipuncture? Y
Perform casting? N

Qualifications:

1. While the Board considers physical exams to be within the scope of practice, the decision whether to accept an exam done by a chiropractor is up to the entity requesting the exam. The Board recommends you first check with the particular school or agency before doing an exam.

2. While the Board considers physical exams to be within the scope of practice, the decision whether to accept an exam done by a chiropractor is up to the entity requesting the exam. The Board recommends you first check with the particular school or agency before doing an exam.

3. Chiropractors can serve on school district concussion oversight teams, which establish return-to-play protocols.

4. 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.

5. Licensed chiropractors who are certified in animal chiropractic can treat pets with a referral from a veterinarian. A veterinarian referral form must be completed and signed by both the owner and veterinarian before a pet can receive chiropractic care. Must be AVCA certified.

6. Chiropractors must obtain a permit from the Texas Board of Chiropractic Examiners (TBCE) to practice acupuncture.

7. The Texas Administrative Code allows chiropractors to use needles in their practice, but only under certain standards. They cannot use needles for surgical or incisive procedures.

8. A chiropractor in Texas cannot do the following: Perform surgical procedures, prescribe controlled substances, dangerous drugs, or any drug requiring a prescription, use incisive needles (other than for drawing blood for diagnostic purposes), use X-rays or other radioactive procedures for therapeutic purposes, perform or prescribe solely cosmetic treatments, perform manipulations under anesthesia. Link: http://www.tbce.texas.gov/faq-sop.html

9. Chiropractors are prohibited from the use of diagnostic or therapeutic procedures that include the use of drugs, surgery, cauterization, desiccation or coagulation of tissues, rectal examinations, gynecological examinations, obstetrics, catherization with a needle, injecting of dyes for radiological procedures, lumbar puncture to obtain spinal fluid, treatment of cancer or x-ray therapy.

General Statutes & Regulations For All Healthcare Providers