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Indiana Chiropractor — Requirements & Free Practice

US-IN · License preparation

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Licenses, application pathways and examination requirements

Each license and applicant pathway has its own requirements and exemptions. Choosing practice questions does not determine your eligibility.

temporary permit

Temporary permit available only to examination candidates taking NBCE Part IV for the first time; fee $50.00.

Licensing authority: Indiana Board of Chiropractic Examiners · Application information

School graduate temporary
Part IV (assessment without a question bank)
Duration
Permit expires day after next exam results; unavailable after failed examination.
Graduation
Accredited chiropractic graduate qualified for licensure by examination and taking NBCE Part IV for first time.
Supervision
Direct supervision by Indiana licensed chiropractor and no independent diagnosis.

Chiropractor License

Indiana chiropractic licensure by examination or endorsement requires a written examination in chiropractic jurisprudence.

Licensing authority: Indiana Board of Chiropractic Examiners · Application information

By endorsement

All of the following:

Application
Submit transcripts, official NBCE scores, photograph, fees and required translations.
Criminal history
Meet criminal history standards and disclose relevant conduct.
Education
Graduate of accredited chiropractic college and complete 90 accredited prechiropractic semester hours before chiropractic school under IC 25-10-1-2(b); the Board page and IAC still request 60-hour transcripts.
Jurisprudence timing
After Board approval, complete the emailed jurisprudence exam within 14 days.
Minimum age
At least 18 under IC 25-10-1-2(a).
Other state license
At least three years licensed in another state under substantially equivalent qualifications, with disciplinary verification.
Part iii waiver
No Part III scores required if NBCE exams were taken before September 11, 1987.
Part iv alternative
An applicant lacking NBCE Part IV may present verification of an equivalent state-constructed oral-practical exam from the active-license state.
By examination

All of the following:

Application
Submit transcripts, official NBCE scores, photograph, fees and required translations.
Criminal history
Meet criminal history standards and disclose relevant conduct.
Education
Graduate of accredited chiropractic college and complete 90 accredited prechiropractic semester hours before chiropractic school under IC 25-10-1-2(b); the Board page and IAC still request 60-hour transcripts.
Jurisprudence timing
After Board approval, complete the emailed jurisprudence exam within 14 days.
Minimum age
At least 18 under IC 25-10-1-2(a).
Prior licensure
Board examination pathway applies if applicant has not held another-state chiropractic license for three years.
Healthcare reciprocity
Jurisprudence Examination
Jurisprudence discretion
IC 25-1-21-5(6) and Board reciprocity page state Indiana-law examination may be required; Board general licensing instructions state no chiropractic applicant is exempt.
Other state license
Current unlimited license or certificate from another state or US jurisdiction; meet equivalence or alternative education, experience, supervision and prior-exam criteria of IC 25-1-21-5.
Standing
Meet conduct, complaint, discipline, affidavit and fee conditions.
Inactive activation
No examination is required for this applicant pathway.
Activation
Apply, pay fees and show one Board-approved educational conference per inactive year or portion.

Official no-examination sources

Effective from 2026-09-22.

Inactive renewal
No examination is required for this applicant pathway.
Inactive
Notify Board of no Indiana practice and pay inactive renewal fee; continuing education is waived while inactive.

Official no-examination sources

Effective from 2026-09-22.

Reinstatement three years or more
No examination is required for this applicant pathway.
Reinstatement
Pay renewal and application fees, document continuing education, appear before Board, complete remediation or training if required.

Official no-examination sources

Effective from 2026-09-22.

Reinstatement under three years
No examination is required for this applicant pathway.
Reinstatement
Meet IC 25-1-8-6(c) conditions and complete missed continuing education if applicable.

Official no-examination sources

Effective from 2026-09-22.

Renewal
No examination is required for this applicant pathway.
Renewal
Renew biennially by July 1 of even-numbered years, pay fee and complete approved continuing education.

Official no-examination sources

Effective from 2026-09-22.

Retired restoration
No examination is required for this applicant pathway.
Restoration
After retirement surrender, request Board consideration in writing; pending discipline requires Board approval before surrender.

Official no-examination sources

Effective from 2026-09-22.

Chiropractor Limited Temporary Permit

Licensing authority: Indiana Board of Chiropractic Examiners · Application information

Out of state limited temporary
No examination is required for this applicant pathway.
Duration
Nonrenewable, at most 30 days.
License
Hold current out-of-state chiropractic license, provide good-standing verification and accredited degree.
Purpose
Specify activity, purpose, location and geographic area.

Official no-examination sources

Effective from 2026-09-22.

Chiropractic Graduate Student Permit

Permit for chiropractic students in their final year of course work, requiring school certification and supervisor information.

Licensing authority: Indiana Board of Chiropractic Examiners · Application information

Final year preceptorship
No examination is required for this applicant pathway.
Education
Final year of accredited chiropractic school with school certification.
Supervision
Indiana licensed direct supervisor; procedure log and no independent diagnosis.

Official no-examination sources

Effective from 2026-09-22.

Part IV

This assessment does not have a question bank.

Provider
NBCE Assessment Center, Greeley, Colorado
Format
Eight stations with simulated patients: seven case management encounters followed by a written SOAP note, graded on Patient Evaluations, Patient Examination, Clinical Decision Making & Case Management, Interpersonal & Communication Skills and Documentation, with content areas Musculoskeletal System, Neurological Conditions, Cardiovascular/Pulmonary Conditions, Gastrointestinal Conditions, Endocrine Conditions, Renal/Urological Conditions and Malignant Conditions; and one technique station with ten chiropractic adjustments (doctor position, patient position, line of drive) covering cervical, thoracic, lumbar, pelvic/sacral and extremity adjusting. Encounters are video-recorded for scoring. Offered Friday through Sunday, 48 weeks a year; after May 17, 2026 only at the NBCE Assessment Center.
Examination sources

Jurisprudence Examination

Provider
Indiana Board of Chiropractic Examiners
Format
true-false and multiple-choice
Exam questions
30
Passing score
75%
Examination outline
  • IC 4-6-9 Consumer Protection Division
  • IC 4-6-10 State Medicaid Fraud Control Unit
  • IC 4-6-13 Identity Theft Unit
  • IC 4-6-14 Health Records and Identifying Information Protection
  • IC 16-39-1 Release of Health Records to Patient and Authorized Persons
  • IC 16-39-2 Release of Mental Health Records to Patient and Authorized Persons
  • IC 16-39-3 Release of Mental Health Records in Investigations and Legal Proceedings
  • IC 16-39-4 Provision of Mental Health Information
  • IC 16-39-5 Release of Health Records to Third Parties and for Legitimate Business Purposes
  • IC 16-39-6 Access to Hospital Records by Hospital Medical Staff Committees
  • IC 16-39-7 Maintenance of Health Records, X-rays, and Other Tests
  • IC 16-39-8 Immunity From Liability
  • IC 16-39-9 Charges Permitted for Providing Copies of Medical Records
  • IC 16-39-10 Disclosure of Protected Health Information
  • IC 16-39-11 COVID-19 Immunization Records
  • IC 23-1.5-1 Definitions
  • IC 23-1.5-2 Administrative Provisions
  • IC 23-1.5-3 Ownership
  • IC 23-1.5-4 Change of Corporate Form
  • IC 23-1.5-5 Foreign Professional Corporations
  • IC 25-1-1 Evidence of License Applicant's Payment of Personal Property Taxes Required
  • IC 25-1-1.1 Effect of Criminal Convictions on Licensed or Registered Persons
  • IC 25-1-1.2 Effect of Delinquency in Child Support Payments on Licensed or Registered Persons
  • IC 25-1-2 Renewal of Licenses Granted by State Agencies ─ Notice of Expiration
  • IC 25-1-4 Continuing Education
  • IC 25-1-5 Professional Licensing Agency
  • IC 25-1-5.5 Electronic Registry of Professions
  • IC 25-1-5.7 Emergency Practitioner Temporary Licensing
  • IC 25-1-6.5 Board Administration
  • IC 25-1-7 Investigation and Prosecution of Complaints Concerning Regulated Occupations
  • IC 25-1-8 Occupational and Professional Licensure, Registration, and Certification Fees
  • IC 25-1-8.5 Reporting of Health Care Entity Mergers and Acquisitions
  • IC 25-1-9 Health Professions Standards of Practice
  • IC 25-1-9.1 Out of Network Provider Referrals
  • IC 25-1-9.5 Telehealth Services and Prescriptions
  • IC 25-1-9.8 Practitioner Good Faith Estimates
  • IC 25-1-10 Direct Primary Care Agreements
  • IC 25-1-10.3 Health Care Provider Advertising
  • IC 25-1-11 Professional Licensing Standards of Practice
  • IC 25-1-12 Renewal of Licenses Held by Individuals in Military Service
  • IC 25-1-15 Exemptions for Athletic Organization Practitioners Licensed in Other Jurisdictions
  • IC 25-1-17 Licensure of Individuals with Military Training; Licensure of Military Spouses
  • IC 25-1-20 Effect of a State Disaster Emergency on Professional Disciplinary Action
  • IC 25-1-21 Reciprocity for Health Care Professionals
  • IC 25-1-22 Gender Transition Procedures for Minors
  • IC 25-10-1 Regulation of Chiropractors — Creation of Board
  • IC 25-10-2 Chiropractic Management Consultants
  • 846 IAC 1-2 Educational Standards
  • 846 IAC 1-3 Scope of Practice; Standards for Competent Practice; Code of Professional Conduct
  • 846 IAC 1-4 Examinations; Licensure; Renewal of Licenses; Fees; Addresses of Licensees
  • 846 IAC 1-5 Application for License by Examination
  • 846 IAC 1-6 Application for License by Endorsement
  • 846 IAC 1-7 X-Ray Utilization
  • 846 IAC 1-8 Continuing Education for Renewal of License
  • 846 IAC 1-9 Temporary Permits
  • 846 IAC 1-10 Graduate Students
  • 846 IAC 1-11 Convictions of Concern
Examination sources

Part I

Provider
Prometric
Format
Computer-based examination; items are presented grouped by domain with one timer for all six domains, an optional break halfway through, and forward-only navigation. The NBCE grades across all six domains and reports one Part I score; individual domains are not scored.
Exam questions
255 items
Passing score
375
Examination outline
  • General Anatomy (20%)
    • Topographical Anatomy - 11% of the General Anatomy domain
    • Topographical Anatomy: Planes of the body and anatomical terminology
    • Topographical Anatomy: Head and neck
    • Topographical Anatomy: Back and thorax
    • Topographical Anatomy: Abdomen, pelvis and perineum
    • Topographical Anatomy: Upper and lower limbs
    • Topographical Anatomy: Integument (including histology)
    • Osteology of the Appendicular Skeleton - 13% of the General Anatomy domain
    • Osteology of the Appendicular Skeleton: Upper limb and shoulder girdle
    • Osteology of the Appendicular Skeleton: Lower limb and pelvis
    • Osteology of the Appendicular Skeleton: Development
    • Osteology of the Appendicular Skeleton: Histology
    • Arthrology and Syndesmology of the Appendicular Skeleton - 11% of the General Anatomy domain
    • Arthrology and Syndesmology of the Appendicular Skeleton: Classification of joints
    • Arthrology and Syndesmology of the Appendicular Skeleton: Articulations of the appendicular skeleton
    • Arthrology and Syndesmology of the Appendicular Skeleton: Biomechanics
    • Myology of the Appendicular Skeleton - 12% of the General Anatomy domain
    • Myology of the Appendicular Skeleton: Upper limb and shoulder (including innervation)
    • Myology of the Appendicular Skeleton: Lower limb and pelvic girdle (including innervation)
    • Myology of the Appendicular Skeleton: Development
    • Myology of the Appendicular Skeleton: Structure and histology
    • Cardiovascular and Lymphatic Systems - 11% of the General Anatomy domain
    • Cardiovascular and Lymphatic Systems: Heart
    • Cardiovascular and Lymphatic Systems: Arteries
    • Cardiovascular and Lymphatic Systems: Veins
    • Cardiovascular and Lymphatic Systems: Lymphatic vessels and lymphoid tissue (including spleen and thymus)
    • Cardiovascular and Lymphatic Systems: Development
    • Cardiovascular and Lymphatic Systems: Histology
    • Digestive System - 11% of the General Anatomy domain
    • Digestive System: Oral cavity and pharynx
    • Digestive System: Digestive viscera
    • Digestive System: Development
    • Digestive System: Histology
    • Respiratory System - 11% of the General Anatomy domain
    • Respiratory System: Nose and sinuses
    • Respiratory System: Larynx, trachea and bronchi
    • Respiratory System: Lungs, pleura and mediastinum
    • Respiratory System: Development
    • Respiratory System: Histology
    • Urogenital System - 10% of the General Anatomy domain
    • Urogenital System: Urinary organs
    • Urogenital System: Male reproductive organs
    • Urogenital System: Female reproductive organs
    • Urogenital System: Development
    • Urogenital System: Histology
    • Endocrine System - 10% of the General Anatomy domain
    • Endocrine System: Endocrine glands and tissues
    • Endocrine System: Development
    • Endocrine System: Histology
  • Spinal Anatomy (22%)
    • Osteology of the Axial Skeleton - 18% of the Spinal Anatomy domain
    • Osteology of the Axial Skeleton: Skull
    • Osteology of the Axial Skeleton: Vertebral column
    • Osteology of the Axial Skeleton: Ribs and sternum
    • Osteology of the Axial Skeleton: Development
    • Myology of the Axial Skeleton - 17% of the Spinal Anatomy domain
    • Myology of the Axial Skeleton: Face and head
    • Myology of the Axial Skeleton: Back and neck
    • Myology of the Axial Skeleton: Thorax and abdomen
    • Myology of the Axial Skeleton: Pelvis and perineum
    • Myology of the Axial Skeleton: Development
    • Arthrology and Syndesmology of the Axial Skeleton - 14% of the Spinal Anatomy domain
    • Arthrology and Syndesmology of the Axial Skeleton: Classification of joints
    • Arthrology and Syndesmology of the Axial Skeleton: Articulations of the axial skeleton
    • Arthrology and Syndesmology of the Axial Skeleton: Biomechanics
    • Anatomy of the Central Nervous System and Related Structures - 18% of the Spinal Anatomy domain
    • Anatomy of the Central Nervous System and Related Structures: Cerebrum
    • Anatomy of the Central Nervous System and Related Structures: Brainstem and cerebellum
    • Anatomy of the Central Nervous System and Related Structures: Spinal cord and meninges
    • Anatomy of the Central Nervous System and Related Structures: Vascular supply and relationships
    • Anatomy of the Central Nervous System and Related Structures: Ventricles and cerebrospinal fluid
    • Anatomy of the Central Nervous System and Related Structures: Development
    • Anatomy of the Central Nervous System and Related Structures: Histology
    • Anatomy of the Peripheral and Autonomic Nervous System - 19% of the Spinal Anatomy domain
    • Anatomy of the Peripheral and Autonomic Nervous System: Spinal nerves, plexuses, and branches
    • Anatomy of the Peripheral and Autonomic Nervous System: Cranial nerves
    • Anatomy of the Peripheral and Autonomic Nervous System: Visceral innervation
    • Anatomy of the Peripheral and Autonomic Nervous System: Cutaneous innervation
    • Anatomy of the Peripheral and Autonomic Nervous System: Development
    • Anatomy of the Peripheral and Autonomic Nervous System: Histology
    • Organs of Special Senses - 14% of the Spinal Anatomy domain
    • Organs of Special Senses: Vision
    • Organs of Special Senses: Audition and equilibrium
    • Organs of Special Senses: Olfaction
    • Organs of Special Senses: Gustation
    • Organs of Special Senses: Development
    • Organs of Special Senses: Histology
  • Physiology (18%)
    • Neurophysiology - 12% of the Physiology domain
    • Neurophysiology: Membrane potentials, action potentials, and synaptic transmission
    • Neurophysiology: Motor function
    • Neurophysiology: Sensory function
    • Neurophysiology: Autonomic function
    • Neurophysiology: Higher cortical function
    • Neurophysiology: Special senses
    • Muscle Physiology - 12% of the Physiology domain
    • Muscle Physiology: Cardiac muscle
    • Muscle Physiology: Skeletal muscle
    • Muscle Physiology: Smooth muscle
    • Cardiovascular Physiology - 12% of the Physiology domain
    • Cardiovascular Physiology: Cardiac pump
    • Cardiovascular Physiology: Electrophysiology of the heart
    • Cardiovascular Physiology: Hemodynamics
    • Cardiovascular Physiology: Regulation of circulation
    • Cardiovascular Physiology: Circulation in organs
    • Cardiovascular Physiology: Lymphatics
    • Cardiovascular Physiology: Hematology and immunity
    • Respiratory Physiology - 11% of the Physiology domain
    • Respiratory Physiology: Mechanics of breathing
    • Respiratory Physiology: Ventilation, lung volumes and capacities
    • Respiratory Physiology: Regulation of respiration
    • Respiratory Physiology: O2 and CO2 transport
    • Respiratory Physiology: Gas exchange
    • Body Fluids and Renal Physiology - 11% of the Physiology domain
    • Body Fluids and Renal Physiology: Regulation of body fluids/micturition
    • Body Fluids and Renal Physiology: Glomerular filtration
    • Body Fluids and Renal Physiology: Tubular exchange
    • Body Fluids and Renal Physiology: Acid-base balance
    • Gastrointestinal Physiology - 10% of the Physiology domain
    • Gastrointestinal Physiology: Ingestion/motility
    • Gastrointestinal Physiology: Digestion/secretion
    • Gastrointestinal Physiology: Absorption
    • Gastrointestinal Physiology: Regulation of GI function
    • Reproductive Physiology - 10% of the Physiology domain
    • Endocrine Physiology - 12% of the Physiology domain
    • Endocrine Physiology: Secretion of hormones
    • Endocrine Physiology: Action of hormones
    • Endocrine Physiology: Regulation
    • Exercise and Sports Physiology - 10% of the Physiology domain
  • Chemistry (13%)
    • Carbohydrates - 13% of the Chemistry domain
    • Carbohydrates: Metabolism
    • Carbohydrates: Metabolism: Catabolic pathways
    • Carbohydrates: Metabolism: Anabolic pathways
    • Carbohydrates: Chemistry
    • Carbohydrates: Chemistry: Structure
    • Carbohydrates: Chemistry: Properties
    • Carbohydrates: Chemistry: Function
    • Carbohydrates: Nutritional concepts
    • Carbohydrates: Nutritional concepts: Food sources
    • Carbohydrates: Nutritional concepts: Digestion
    • Lipids - 12% of the Chemistry domain
    • Lipids: Metabolism
    • Lipids: Metabolism: Catabolic pathways
    • Lipids: Metabolism: Anabolic pathways
    • Lipids: Chemistry
    • Lipids: Chemistry: Structure
    • Lipids: Chemistry: Properties
    • Lipids: Chemistry: Function
    • Lipids: Chemistry: Transport
    • Lipids: Nutritional concepts
    • Lipids: Nutritional concepts: Food sources
    • Lipids: Nutritional concepts: Digestion
    • Proteins, Amino Acids and Peptides - 13% of the Chemistry domain
    • Proteins, Amino Acids and Peptides: Amino acid metabolism
    • Proteins, Amino Acids and Peptides: Amino acid metabolism: Catabolic pathways
    • Proteins, Amino Acids and Peptides: Amino acid metabolism: Anabolic pathways
    • Proteins, Amino Acids and Peptides: Chemistry
    • Proteins, Amino Acids and Peptides: Chemistry: Structure
    • Proteins, Amino Acids and Peptides: Chemistry: Properties
    • Proteins, Amino Acids and Peptides: Chemistry: Function
    • Proteins, Amino Acids and Peptides: Nutritional concepts
    • Proteins, Amino Acids and Peptides: Nutritional concepts: Food sources
    • Proteins, Amino Acids and Peptides: Nutritional concepts: Digestion
    • Enzymes - 12% of the Chemistry domain
    • Enzymes: Classification and function
    • Enzymes: Kinetics and regulation
    • Hormones - 13% of the Chemistry domain
    • Hormones: Metabolic effects of specific hormones
    • Hormones: Metabolic effects of specific hormones: Carbohydrate metabolism
    • Hormones: Metabolic effects of specific hormones: Lipid metabolism
    • Hormones: Metabolic effects of specific hormones: Protein metabolism
    • Hormones: General properties
    • Hormones: General properties: Chemistry
    • Hormones: General properties: Mechanism of action
    • Nucleotides and Nucleic Acids - 12% of the Chemistry domain
    • Nucleotides and Nucleic Acids: Metabolism of purines and pyrimidines
    • Nucleotides and Nucleic Acids: Chemistry
    • Nucleotides and Nucleic Acids: Chemistry: Structure
    • Nucleotides and Nucleic Acids: Chemistry: Properties
    • Nucleotides and Nucleic Acids: Chemistry: Function
    • Nucleotides and Nucleic Acids: DNA, RNA and protein synthesis
    • Vitamins and Minerals - 13% of the Chemistry domain
    • Vitamins and Minerals: Chemistry
    • Vitamins and Minerals: Chemistry: Structure
    • Vitamins and Minerals: Chemistry: Properties
    • Vitamins and Minerals: Chemistry: Function
    • Vitamins and Minerals: Chemistry: Coenzyme precursors
    • Vitamins and Minerals: Nutritional concepts
    • Vitamins and Minerals: Nutritional concepts: Food sources
    • Vitamins and Minerals: Nutritional concepts: Absorption and metabolism
    • Vitamins and Minerals: Nutritional concepts: Storage
    • Biochemical Energetics - 12% of the Chemistry domain
    • Biochemical Energetics: Basic Concepts
    • Biochemical Energetics: Basic Concepts: High-energy phosphate compounds
    • Biochemical Energetics: Basic Concepts: Oxidation-reduction reactions
    • Biochemical Energetics: Citric acid cycle
    • Biochemical Energetics: Oxidative phosphorylation and electron transport system
  • Pathology (16%)
    • Fundamentals of Pathology - 15% of the Pathology domain
    • Fundamentals of Pathology: Disease at the cellular level
    • Fundamentals of Pathology: Inflammation and repair
    • Fundamentals of Pathology: Neoplasia
    • Fundamentals of Pathology: Hemodynamic disorders
    • Genetic and Congenital Disorders - 10% of the Pathology domain
    • Genetic and Congenital Disorders: Chromosomal disorders
    • Genetic and Congenital Disorders: Inborn errors of metabolism
    • Genetic and Congenital Disorders: Congenital disorders
    • Disorders of the Immune System - 14% of the Pathology domain
    • Disorders of the Immune System: Hypersensitivity reactions
    • Disorders of the Immune System: Autoimmune diseases
    • Disorders of the Immune System: Immunologic deficiencies
    • Environmental and Nutritional Diseases - 13% of the Pathology domain
    • Disorders of the Musculoskeletal System - 16% of the Pathology domain
    • Disorders of the Musculoskeletal System: Bone
    • Disorders of the Musculoskeletal System: Joint
    • Disorders of the Musculoskeletal System: Muscle
    • Disorders of the Nervous System - 16% of the Pathology domain
    • Disorders of the Nervous System: Central nervous system
    • Disorders of the Nervous System: Peripheral nervous system
    • Diseases of the Organ Systems - 16% of the Pathology domain
    • Diseases of the Organ Systems: Cardiovascular
    • Diseases of the Organ Systems: Gastrointestinal
    • Diseases of the Organ Systems: Respiratory
    • Diseases of the Organ Systems: Genitourinary
    • Diseases of the Organ Systems: Endocrine
    • Diseases of the Organ Systems: Blood and lymphatics
  • Microbiology (11%)
    • Immunology - 18% of the Microbiology domain
    • Immunology: Cells of the immune system
    • Immunology: Antigens, antibodies and complement
    • Immunology: Hypersensitivities and immunopathologies
    • Immunology: Immunization/vaccination
    • Immunology: Assessment of immune responses/serology
    • Bacteria - 18% of the Microbiology domain
    • Bacteria: Structure and biochemical characteristics
    • Bacteria: Resistance, genetics, antigenicity, and pathogenicity
    • Bacteria: Communicable and infectious diseases
    • Bacteria: Reservoirs of infection and modes of transmission
    • Viruses and Prions - 18% of the Microbiology domain
    • Viruses and Prions: Structure and biochemical characteristics
    • Viruses and Prions: Resistance, genetics, antigenicity, and pathogenicity
    • Viruses and Prions: Communicable and infectious diseases
    • Viruses and Prions: Reservoirs of infection and modes of transmission
    • Fungi - 15% of the Microbiology domain
    • Fungi: Structure and biochemical characteristics
    • Fungi: Resistance, genetics, antigenicity, and pathogenicity
    • Fungi: Communicable and infectious diseases
    • Fungi: Reservoirs of infection and modes of transmission
    • Parasites - 15% of the Microbiology domain
    • Parasites: Structure and biochemical characteristics
    • Parasites: Resistance, genetics, antigenicity, and pathogenicity
    • Parasites: Communicable and infectious diseases
    • Parasites: Reservoirs of infection and modes of transmission
    • Epidemiology and Disease Control - 16% of the Microbiology domain
    • Epidemiology and Disease Control: Health agencies and reporting/monitoring
    • Epidemiology and Disease Control: Prevention, identification and control methods for communicable diseases
    • Epidemiology and Disease Control: Population health assessments
    • Epidemiology and Disease Control: Emerging diseases
Examination sources

NBCE Part II

Provider
Prometric
Format
Computer-based examination; items are presented grouped by domain with one timer for all six domains, an optional break halfway through, and forward-only navigation. The NBCE grades across all six domains and reports one Part II score; individual domains are not scored.
Exam questions
255 items
Passing score
375
Examination outline
  • General Diagnosis (19%)
    • Case History - 12% of the General Diagnosis domain
    • Vital Signs - 6% of the General Diagnosis domain
    • Head and Neck Examination/Findings - 9% of the General Diagnosis domain
    • Head and Neck Examination/Findings: Eye
    • Head and Neck Examination/Findings: Ear
    • Head and Neck Examination/Findings: Nose and sinuses
    • Head and Neck Examination/Findings: Mouth and throat
    • Head and Neck Examination/Findings: Neck
    • Thorax Examination/Findings (including heart and lungs) - 8% of the General Diagnosis domain
    • Thorax Examination/Findings (including heart and lungs): Inspection
    • Thorax Examination/Findings (including heart and lungs): Auscultation
    • Thorax Examination/Findings (including heart and lungs): Percussion
    • Thorax Examination/Findings (including heart and lungs): Palpation
    • Abdominal Examination/Findings - 8% of the General Diagnosis domain
    • Abdominal Examination/Findings: Inspection
    • Abdominal Examination/Findings: Auscultation
    • Abdominal Examination/Findings: Percussion
    • Abdominal Examination/Findings: Palpation
    • Rectal and Male Urogenital Examination/Findings - 6% of the General Diagnosis domain
    • Diagnosis or Clinical Impression - 40% of the General Diagnosis domain
    • Diagnosis or Clinical Impression: Eyes, ears, nose and throat
    • Diagnosis or Clinical Impression: Respiratory diseases
    • Diagnosis or Clinical Impression: Cardiovascular diseases
    • Diagnosis or Clinical Impression: Blood and lymphatic diseases
    • Diagnosis or Clinical Impression: Gastrointestinal diseases
    • Diagnosis or Clinical Impression: Genitourinary diseases
    • Diagnosis or Clinical Impression: Endocrine and metabolic disorders
    • Diagnosis or Clinical Impression: Immunological disorders
    • Diagnosis or Clinical Impression: Nutritional disorders
    • Diagnosis or Clinical Impression: Infectious diseases
    • Laboratory Interpretation - 11% of the General Diagnosis domain
    • Laboratory Interpretation: Urinalysis
    • Laboratory Interpretation: Hematology
    • Laboratory Interpretation: Chemistry/serology
    • Laboratory Interpretation: Special studies
  • Neuromusculoskeletal Diagnosis (20%)
    • Case History - 18% of the Neuromusculoskeletal Diagnosis domain
    • Posture and Gait Assessment - 10% of the Neuromusculoskeletal Diagnosis domain
    • Orthopedic Examination - 21% of the Neuromusculoskeletal Diagnosis domain
    • Orthopedic Examination: Cervical spine
    • Orthopedic Examination: Thoracic spine
    • Orthopedic Examination: Lumbar spine and pelvis
    • Orthopedic Examination: Extremities
    • Neurologic Examination - 21% of the Neuromusculoskeletal Diagnosis domain
    • Neurologic Examination: Cranial nerve/CNS testing
    • Neurologic Examination: Motor testing
    • Neurologic Examination: Sensory testing
    • Neurologic Examination: Reflex testing
    • Neurologic Examination: Reflex testing: Superficial reflexes
    • Neurologic Examination: Reflex testing: Deep tendon reflexes
    • Neurologic Examination: Reflex testing: Pathological reflexes
    • Diagnosis or Clinical Impression - 30% of the Neuromusculoskeletal Diagnosis domain
    • Diagnosis or Clinical Impression: CNS disorders
    • Diagnosis or Clinical Impression: Peripheral neurologic/neurovascular disorders
    • Diagnosis or Clinical Impression: Muscular disorders
    • Diagnosis or Clinical Impression: Bone and joint disorders
  • Diagnostic Imaging (17%)
    • Imaging Technology - 5% of the Diagnostic Imaging domain
    • Imaging Technology: Physics and principles
    • Imaging Technology: Quality assurance
    • Imaging Technology: Radiographic imaging
    • Imaging Technology: Radiologic protection
    • Radiographic Positioning and Normal Anatomy - 20% of the Diagnostic Imaging domain
    • Radiographic Positioning and Normal Anatomy: Spine and pelvis
    • Radiographic Positioning and Normal Anatomy: Extremities
    • Radiographic Positioning and Normal Anatomy: Thorax and abdomen
    • Imaging Diagnosis or Clinical Impression - 50% of the Diagnostic Imaging domain
    • Imaging Diagnosis or Clinical Impression: Congenital anomalies and normal variants
    • Imaging Diagnosis or Clinical Impression: Trauma
    • Imaging Diagnosis or Clinical Impression: Arthritides
    • Imaging Diagnosis or Clinical Impression: Tumors/tumor-like processes
    • Imaging Diagnosis or Clinical Impression: Nutritional, metabolic and endocrine conditions
    • Imaging Diagnosis or Clinical Impression: Hematologic conditions
    • Imaging Diagnosis or Clinical Impression: Infectious conditions
    • Imaging Diagnosis or Clinical Impression: Miscellaneous skeletal conditions
    • Imaging Diagnosis or Clinical Impression: Thoracic and abdominal conditions
    • Methods of Interpretation - 10% of the Diagnostic Imaging domain
    • Methods of Interpretation: Biomechanical analysis/mensuration procedures
    • Methods of Interpretation: Imaging evaluation (including common misinterpretations)
    • Clinical Applications of Special Imaging - 15% of the Diagnostic Imaging domain
    • Clinical Applications of Special Imaging: MRI
    • Clinical Applications of Special Imaging: CT
    • Clinical Applications of Special Imaging: Miscellaneous
  • Principles of Chiropractic (14%)
    • The Chiropractic Paradigm - 23% of the Principles of Chiropractic domain
    • The Chiropractic Paradigm: Core concepts
    • The Chiropractic Paradigm: Research principles and methods
    • Concepts of Subluxation and Spinal Lesions - 26% of the Principles of Chiropractic domain
    • Concepts of Subluxation and Spinal Lesions: Dysafferentation (proprioceptive insult)/somatosomatic reflex models
    • Concepts of Subluxation and Spinal Lesions: Neural compression/traction models
    • Concepts of Subluxation and Spinal Lesions: Visceral reflex models
    • Concepts of Subluxation and Spinal Lesions: Vascular insufficiency models
    • Concepts of Subluxation and Spinal Lesions: Axonal aberration/trophic models
    • Concepts of Subluxation and Spinal Lesions: Neuroimmunomodulation models
    • Concepts of Subluxation and Spinal Lesions: Biomechanical models
    • Concepts of Subluxation and Spinal Lesions: Other
    • Basic Science Concepts in Chiropractic - 25% of the Principles of Chiropractic domain
    • Basic Science Concepts in Chiropractic: Anatomical
    • Basic Science Concepts in Chiropractic: Pathophysiological
    • Basic Science Concepts in Chiropractic: Biomechanical
    • Applied Chiropractic Principles - 26% of the Principles of Chiropractic domain
    • Applied Chiropractic Principles: Subluxation etiologies
    • Applied Chiropractic Principles: General effects of adjustment and manipulation
    • Applied Chiropractic Principles: Wellness
  • Chiropractic Practice (17%)
    • Spinal Analysis and Patient Evaluation - 25% of the Chiropractic Practice domain
    • Spinal Analysis and Patient Evaluation: Case history and observation findings
    • Spinal Analysis and Patient Evaluation: Manual examination of the spine and extremities
    • Spinal Analysis and Patient Evaluation: Diagnostic procedures
    • Chiropractic Adjustive Technique - 26% of the Chiropractic Practice domain
    • Chiropractic Adjustive Technique: Cervical techniques
    • Chiropractic Adjustive Technique: Thoracic techniques
    • Chiropractic Adjustive Technique: Lumbar techniques
    • Chiropractic Adjustive Technique: Pelvic techniques
    • Chiropractic Adjustive Technique: Costal and extremity techniques
    • Patient Care - 27% of the Chiropractic Practice domain
    • Patient Care: Case management
    • Patient Care: Contraindications for treatment
    • Patient Care: Home care, prevention and rehabilitation
    • Community Health and Wellness - 12% of the Chiropractic Practice domain
    • Community Health and Wellness: Public health organizations
    • Community Health and Wellness: Healthy People initiatives
    • Community Health and Wellness: Screening activities for health promotion
    • Community Health and Wellness: Tobacco, alcohol, and substance abuse
    • Community Health and Wellness: Exercise and healthy diet for obesity
    • Community Health and Wellness: Behavior theories and lifestyle change
    • Community Health and Wellness: Wellness counseling
    • Occupational and Environmental Health - 10% of the Chiropractic Practice domain
    • Occupational and Environmental Health: Work-based health risks
    • Occupational and Environmental Health: Worker protection and ergonomics
    • Occupational and Environmental Health: Injury and violence
    • Occupational and Environmental Health: Impact of environment on human health
    • Occupational and Environmental Health: Pollution and wastes
  • Associated Clinical Sciences (13%)
    • Geriatrics - 15% of the Associated Clinical Sciences domain
    • Geriatrics: Anatomic and physiologic process of aging
    • Geriatrics: Geriatric disorders and case management
    • Dermatology - 11% of the Associated Clinical Sciences domain
    • Dermatology: Types of skin lesions
    • Dermatology: Microbial infections
    • Dermatology: Tumors
    • Dermatology: Dermatitis
    • Dermatology: Scaling diseases
    • Dermatology: Vesicular and bullous diseases
    • Dermatology: Pigmentary disorders
    • Dermatology: Inflammatory reactions
    • Dermatology: Disorders of hair follicles and sebaceous glands
    • Sexually Transmitted Diseases - 8% of the Associated Clinical Sciences domain
    • Sexually Transmitted Diseases: Gonorrhea
    • Sexually Transmitted Diseases: Syphilis
    • Sexually Transmitted Diseases: AIDS
    • Sexually Transmitted Diseases: Chlamydia
    • Sexually Transmitted Diseases: Herpes
    • Sexually Transmitted Diseases: Other
    • Toxicology - 10% of the Associated Clinical Sciences domain
    • Toxicology: Pharmacology
    • Toxicology: Poisoning
    • Toxicology: Environmental and occupational toxicology
    • Emergency Procedures - 13% of the Associated Clinical Sciences domain
    • Emergency Procedures: Cardiopulmonary arrest
    • Emergency Procedures: Poisoning
    • Emergency Procedures: Thermal injuries
    • Emergency Procedures: Shock
    • Emergency Procedures: Head and spinal injuries
    • Emergency Procedures: Choking
    • Emergency Procedures: Fractures, dislocations, strains and sprains
    • Emergency Procedures: Other
    • Psychology - 11% of the Associated Clinical Sciences domain
    • Psychology: Theories and general concepts
    • Psychology: Mental and emotional disorders
    • Psychology: Assessment methods and case management
    • Gynecology and Obstetrics - 11% of the Associated Clinical Sciences domain
    • Gynecology and Obstetrics: Gynecological examination
    • Gynecology and Obstetrics: Breast examination and disorders
    • Gynecology and Obstetrics: Gynecological disease and abnormalities
    • Gynecology and Obstetrics: Pregnancy
    • Gynecology and Obstetrics: Labor and delivery
    • Gynecology and Obstetrics: Postpartum
    • Gynecology and Obstetrics: Obstetric disorders
    • Pediatrics - 14% of the Associated Clinical Sciences domain
    • Pediatrics: Care of newborn
    • Pediatrics: Growth and development
    • Pediatrics: Congenital disorders
    • Pediatrics: Childhood infectious diseases
    • Pediatrics: Pathological conditions and childhood injuries
    • Pediatrics: Emotional disorders and learning disabilities
    • Pediatrics: Nutritional problems
    • Jurisprudence, Ethics and Basic Economics - 7% of the Associated Clinical Sciences domain
Examination sources

Part III

Provider
National Board of Chiropractic Examiners; computer-based testing at chiropractic colleges and Prometric testing centers
Format
Computer-based examination with three item types that equally contribute to the total exam score: traditional multiple-choice (TMCQ, 1 response), extended multiple-choice cases (EMCQ, case presentation followed by a question requiring 2 responses) and diagnostic imaging interpretation (DXI, imaging set followed by a question requiring 1 response). Applications coded V2PT3 take this version with DXI; applications coded PT3 take the version without DXI, whose published test plan covers the same nine clinical categories without the DXI portion (category weightings on that plan: Case History 11%, Physical Examination 9%, Neuromusculoskeletal Examination 11%, Diagnostic Imaging 11%, Clinical Laboratory and Special Studies 7%, Diagnosis or Clinical Impression 14%, Chiropractic Techniques 14%, Supportive Interventions 8%, Case Management 15%). The NBCE states that almost every examinee takes the version with DXI.
Exam questions
80 traditional multiple-choice questions, 20 extended multiple-choice case presentations and 30 diagnostic imaging interpretation sets
Time limit
4 hours testing time; 4 hours 31 minutes appointment including tutorial, end-of-exam survey and optional 15-minute break
Passing score
375
Exam fee
$710
Examination outline
  • Traditional multiple-choice (TMCQ) and extended multiple-choice cases (EMCQ): nine categories of clinical competency (80%)
    • Case History - 11% of the TMCQ/EMCQ content
    • Case History: Chief complaint
    • Case History: Present illness
    • Case History: Past history
    • Case History: Family history
    • Case History: Personal and social history
    • Case History: Review of systems
    • Physical Examination - 8% of the TMCQ/EMCQ content
    • Physical Examination: General survey
    • Physical Examination: Head and neck examination
    • Physical Examination: Thorax and lung examination
    • Physical Examination: Cardiovascular examination
    • Physical Examination: Breast and axilla examination
    • Physical Examination: Abdominal examination
    • Physical Examination: Urogenital examination
    • Physical Examination: Rectal examination
    • Neuromusculoskeletal Examination - 12% of the TMCQ/EMCQ content
    • Neuromusculoskeletal Examination: Posture and gait analysis
    • Neuromusculoskeletal Examination: Standard spinal and extremity orthopedic procedures
    • Neuromusculoskeletal Examination: Standard neurological testing procedures
    • Neuromusculoskeletal Examination: Peripheral vascular examination procedures
    • Diagnostic Imaging - 11% of the TMCQ/EMCQ content
    • Diagnostic Imaging: Indications and contraindications for diagnostic imaging procedures
    • Diagnostic Imaging: Patient protection and positioning
    • Diagnostic Imaging: Normal anatomy
    • Diagnostic Imaging: Description and interpretation of images
    • Clinical Laboratory and Special Studies - 7% of the TMCQ/EMCQ content
    • Clinical Laboratory and Special Studies: Urinalysis
    • Clinical Laboratory and Special Studies: Hematology
    • Clinical Laboratory and Special Studies: Serology
    • Clinical Laboratory and Special Studies: Blood chemistries
    • Clinical Laboratory and Special Studies: Stool analysis
    • Clinical Laboratory and Special Studies: Joint fluid analysis
    • Clinical Laboratory and Special Studies: Electrophysiologic recordings (EEG, ECG, EMG, and NCV)
    • Diagnosis or Clinical Impression - 16% of the TMCQ/EMCQ content
    • Diagnosis or Clinical Impression: Patient history
    • Diagnosis or Clinical Impression: Physical and neuromusculoskeletal examinations
    • Diagnosis or Clinical Impression: Diagnostic imaging
    • Diagnosis or Clinical Impression: Clinical laboratory and special studies
    • Chiropractic Techniques - 11% of the TMCQ/EMCQ content
    • Chiropractic Techniques: Indications and contraindications for chiropractic care
    • Chiropractic Techniques: Spinal adjustive techniques
    • Chiropractic Techniques: Extremity adjustive techniques
    • Chiropractic Techniques: Skeletal biomechanics
    • Supportive Interventions - 9% of the TMCQ/EMCQ content
    • Supportive Interventions: Physiotherapy modalities
    • Supportive Interventions: Nutrition and diet
    • Supportive Interventions: Corrective exercises and rehabilitation
    • Supportive Interventions: Protective body mechanics and ergonomics
    • Supportive Interventions: Patient education and self-care
    • Supportive Interventions: Wellness and lifestyle counseling
    • Case Management - 15% of the TMCQ/EMCQ content
    • Case Management: Formulation of a treatment plan and prognosis
    • Case Management: Appropriate procedures for case follow-up and review
    • Case Management: Patient referral and/or co-management
    • Case Management: Clinical documentation and informed consent
  • Diagnostic Imaging Interpretation (DXI): six categories (20%)
    • DXI - Arthritic Disorders - 30% of the DXI content
    • DXI - Arthritic Disorders: Degenerative
    • DXI - Arthritic Disorders: Inflammatory
    • DXI - Arthritic Disorders: Metabolic/Crystalline
    • DXI - Congenital Anomalies and Skeletal Variants - 15% of the DXI content
    • DXI - Congenital Anomalies and Skeletal Variants: Spinal
    • DXI - Congenital Anomalies and Skeletal Variants: Extraspinal
    • DXI - Congenital Anomalies and Skeletal Variants: Scoliosis
    • DXI - Trauma - 10% of the DXI content
    • DXI - Trauma: Skeletal
    • DXI - Trauma: Soft tissue
    • DXI - Tumors and Tumor-like Processes - 20% of the DXI content
    • DXI - Tumors and Tumor-like Processes: Benign
    • DXI - Tumors and Tumor-like Processes: Primary malignant
    • DXI - Tumors and Tumor-like Processes: Metastatic
    • DXI - Tumors and Tumor-like Processes: Tumor-like
    • DXI - Miscellaneous Osteoarticular - 15% of the DXI content
    • DXI - Miscellaneous Osteoarticular: Hematological/Vascular
    • DXI - Miscellaneous Osteoarticular: Infections
    • DXI - Miscellaneous Osteoarticular: Nutritional/Metabolic
    • DXI - Miscellaneous Osteoarticular: Endocrine
    • DXI - Soft Tissue - 10% of the DXI content
    • DXI - Soft Tissue: Chest
    • DXI - Soft Tissue: Abdomen
    • DXI - Soft Tissue: Miscellaneous
Examination sources

Physiotherapy

Provider
National Board of Chiropractic Examiners; computer-based testing at chiropractic colleges and Prometric testing centers
Format
Elective, computer-based multiple-choice examination; may be taken individually or in conjunction with other NBCE examinations; candidates must have completed 120 hours of instruction in physiotherapy
Exam questions
90 standard multiple-choice questions
Time limit
75 minutes testing time; 90-minute testing appointment
Passing score
NBCE-recommended passing score of 375; individual states may require a higher passing score
Exam fee
$450
Examination outline
  • Thermotherapy (10%)
    • Thermotherapy: Hot moist packs
    • Thermotherapy: Ultrasound
    • Thermotherapy: Cryotherapy
  • Electrotherapy (10%)
    • Electrotherapy: Interferential current
    • Electrotherapy: High voltage therapy
    • Electrotherapy: Electrical muscle stimulation
    • Electrotherapy: TENS
    • Electrotherapy: Microcurrent
  • Mechanotherapy (10%)
    • Mechanotherapy: Cervical/lumbar traction
    • Mechanotherapy: Massage, vibration and trigger point therapy
    • Mechanotherapy: Bracing/orthotics
    • Mechanotherapy: Taping
  • Phototherapy (7%)
    • Phototherapy: Low Level Laser
    • Phototherapy: Ultraviolet
  • Functional Assessment (11%)
    • Functional Assessment: Gait
    • Functional Assessment: Movement patterns
    • Functional Assessment: Muscle imbalances
  • Exercise Physiology (8%)
    • Exercise Physiology: Neurobiology of training and conditioning
    • Exercise Physiology: Biochemistry of training and conditioning
  • Endurance Training (8%)
    • Endurance Training: Aerobic capacity and adaption
    • Endurance Training: Cardiovascular rehabilitation
  • Muscle Rehabilitation (11%)
    • Muscle Rehabilitation: Stretching
    • Muscle Rehabilitation: Strengthening
  • Neuromuscular Rehabilitation (11%)
    • Neuromuscular Rehabilitation: Balance and alignment
    • Neuromuscular Rehabilitation: Coordinated movement patterns
    • Neuromuscular Rehabilitation: Core/spine stabilization
  • Disorder-specific Rehabilitation (14%)
    • Disorder-specific Rehabilitation: Spine and pelvis
    • Disorder-specific Rehabilitation: Upper extremities
    • Disorder-specific Rehabilitation: Lower extremities
Examination sources