Massachusetts State Board of Chiropractic Examiners - Applications and Forms - Forms

Massachusetts State Board of Chiropractic Examiners - Applications and Forms

Massachusetts Board of Chiropractors
239 Causeway Street, Suite 500
Boston, MA 02114

Chiropractors Email 617-727-3093 617-727-2669
joann.termine@state.ma.us
Request a Duplicate Renewal Email 617-727-3093 617-727-2669
joann.termine@state.ma.us
Continuing Education Email 617-727-3093 617-727-2669
joann.termine@state.ma.us
Chiropractic Facilities Email 617-727-3093 617-727-2669
araceli.avila.ging@state.ma.us

Joann Termine, Board Administrator
Araceli Avila Ging,
Facility Coordinator

Chiropractor Applications
Contact PCS for all applications and testing information at:
Professional Credential Services, Inc. (PCS)
Tel. 877-887-9727 (toll free) or 615-880-4225
Website: www.pcshq.com

Application For Continuing Education Course Approval

Chiropractic Facility Licensure On-Line Application

CHOR Experience Waiver Application

Online Address Change for Chiropractors
The Online Change of Address feature allows you to change your address of record listed in our database. To use this function, you must provide certain information for authorization.

Change of Name or Request for Duplicate License for Board of Registration of Chiropractors
This form maybe used to request a name change, address change or a duplicate license.

Division of Professional Licensure Complaint Form

Health Care Fraud Complaint Application
Note: The Health Care Fraud Application is for use by insurance companies and fraud agencies.

© 2007 Commonwealth of Massachusetts