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Vermont Chiropractor — Requirements & Free Practice

US-VT · 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.

Vermont Emergency Temporary License

Temporary licensure during a declared emergency for qualifying licensees from another jurisdiction or approved-program graduates when licensing examinations are not reasonably available; duration is limited to the emergency or 90 days, whichever occurs first, with continued good standing and possible reissuance.

Licensing authority: Vermont Board of Chiropractic

Temporary license during declared emergency
No examination is required for this applicant pathway.
Emergency
Declared state of emergency.
Qualification
Good-standing license in another jurisdiction without discipline, or graduate of an approved program while licensing exams are not reasonably available.
Term
Until emergency ends or 90 days, whichever first; may be reissued if emergency continues.

Official no-examination sources

Effective from 2026-09-22.

Honorary License

An honorary license granted at the board's discretion for outstanding service to a profession; it confers no right or privilege to practice the profession in Vermont.

Licensing authority: Vermont Board of Chiropractic

Honorary license
No examination is required for this applicant pathway.
Practice
Honorary license confers no right to practice.
Service
Board discretion for outstanding service to profession.

Official no-examination sources

Effective from 2026-09-22.

Chiropractic Intern Registration

Registration permits students enrolled in a board-approved chiropractic college who have completed three curriculum years to work as interns under a licensed chiropractor's direct supervision.

Licensing authority: board of chiropractic

Intern registration
No examination is required for this applicant pathway.
Education
Enrollment in fourth academic year of accredited chiropractic school.
Supervision
Agreement to supervise from a Vermont licensed chiropractor.

Official no-examination sources

Effective from 2026-09-22.

Ionizing Radiation Endorsement

Endorsement for licensees applying ionizing radiation for diagnostic purposes; competency is shown by graduation from a CCE-accredited school of chiropractic.

Licensing authority: Vermont Board of Chiropractic · Application information

Initial ionizing radiation endorsement
No examination is required for this applicant pathway.
Application
Application and required fee.
Competency
Competency shown by graduation from a CCE-accredited chiropractic school.
License
Already licensed by the Board.

Official no-examination sources

Effective from 2026-09-22.

Reinstatement of expired ionizing radiation endorsement
No examination is required for this applicant pathway.
Approval
Apply to the Board for approval after expiration.
Fee
Pay required reinstatement fee.

Official no-examination sources

Effective from 2026-09-22.

Ionizing radiation endorsement renewal
No examination is required for this applicant pathway.
Fee
Pay renewal fee.
Term
Renew endorsement every two years before expiration.

Official no-examination sources

Effective from 2026-09-22.

Chiropractor

Professional license required to practice chiropractic.

Licensing authority: Vermont Board of Chiropractic · Application information

Licensure by endorsement
Chiropractor VT State Jurisprudence Exam # 1
Equivalence
Board determines that the other jurisdiction has substantially equivalent qualifications.
National board scores
Board application instructions request NBCE scores directly from NBCE but do not identify exact examinations.
Other license
Current good-standing chiropractic license in a U.S. or Canadian jurisdiction.
Verification
Verification from initial and most recent jurisdictions.
Endorsement for applicant not in good standing
Board discretion
Board must be satisfied that the applicant is otherwise qualified and may limit or condition the license.
Equivalence
Other jurisdiction qualifications must be substantially equivalent under § 533(a).
Other license
Applicant previously licensed in another U.S. or Canadian jurisdiction.
Fast track endorsement
Chiropractor VT State Jurisprudence Exam # 1
National board scores
No NBCE score report listed in the fast track instructions.
Other license
Active good-standing U.S. jurisdiction license for three years preceding application.
Verification
Official verification showing continuous good standing for three years.
Initial licensure by examination
Chiropractor VT State Jurisprudence Exam # 1
Age
Age of majority.
Education
Graduation from a Board-approved accredited chiropractic school, or Board-accepted equivalent foreign education.
Language
Foreign-educated applicants whose training was not in English must pass TOEFL or a similar Board-approved language examination.
National board scores
Request National Board of Chiropractic Examiners score report directly to the Office; the instructions do not specify which NBCE parts.
Written and practical exams
Board-approved written and practical examinations are required by Board Rule 2.3; the selected examinations are specified on application forms.
Renewal after five years without another good standing license
Application
New application and fee.
Other license
No good-standing U.S. or Canadian chiropractic license during the lapse.
Spec time
Pass SPEC or its successor or equivalent examination within one year of applying; open equivalent alternatives remain Board-approved conditions.
Renewal after five years with another good standing license
Chiropractor VT State Jurisprudence Exam # 1
Continuing education
24 hours of continuing education in the two years before application.
Discretionary examination
The Board may administer a Vermont statutes and rules examination under 3 V.S.A. § 129(a)(13).
Other license
Maintained a good-standing chiropractic license in another U.S. or Canadian jurisdiction during the lapse.
Late renewal within five years
Chiropractor VT State Jurisprudence Exam # 1
Continuing education
24 hours of continuing education within two years before application.
Discretionary examination
The Board may administer a Vermont statutes and rules examination under 3 V.S.A. § 129(a)(13).
Fee
Renewal and late fees.
Biennial renewal
Chiropractor VT State Jurisprudence Exam # 1
Continuing education
24 hours of approved continuing education after the first renewal.
Discretionary examination
3 V.S.A. § 129(a)(13) authorizes a Vermont statutes and rules exam as a condition of renewal; the Board renewal rules list no routine examination.
Fee
Biennial renewal fee.

Provisional Chiropractor License

A 90-day provisional license for an otherwise qualified applicant whose only outstanding licensing requirement is verification of licensure.

Licensing authority: Vermont Office of Professional Regulation · Application information

90 day provisional license pending license verification
Chiropractor VT State Jurisprudence Exam # 1
Application
Completed application for full licensure with all other requirements met.
Attestation
Applicant attests to material facts and agrees to provisional license terms.
Term
Initial term 90 days; Director may extend while reason remains unresolved.
Verification
Only outstanding deficiency is license verification; applicant requests provisional license.

Special Purposes Examination for Chiropractic

Provider
National Board of Chiropractic Examiners; administered at Prometric Testing Centers throughout North America
Format
Post-licensure multiple-choice examination in two parts, 100 traditional multiple-choice questions (TMCQ) and 40 extended multiple-choice cases (EMCQ), addressing the general clinical knowledge and understanding required for chiropractic practice; offered six times per year; both sessions must be completed to receive a score. Candidates must hold or have held a chiropractic license and need authorization from a state board or international licensing agency.
Exam questions
100 traditional multiple-choice questions and 40 extended multiple-choice cases
Time limit
Approximately three hours, in two equal sessions of 90 minutes each
Passing score
NBCE-recommended passing score of 375; use of SPEC scores is at the discretion of individual state licensing boards
Exam fee
$1,500 exam fee/retake fee
Examination outline
  • Case History (11%)
    • 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%)
    • 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%)
    • 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 (12%)
    • 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 (6%)
    • 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 (17%)
    • 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 (9%)
    • Chiropractic Techniques: Indications and contraindications for chiropractic care
    • Chiropractic Techniques: Spinal adjustive techniques
    • Chiropractic Techniques: Extremity adjustive techniques
    • Chiropractic Techniques: Skeletal biomechanics
  • Supportive Interventions (10%)
    • 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%)
    • 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
Examination sources

Chiropractor VT State Jurisprudence Exam # 1

Format
Open-book examination with answer sheet
Passing score
Fewer than six incorrect answers
Practice scope

Inferred from the examination name; the authority has not published an examination outline.

  • 26 V.S.A. chapter 10, Chiropractic
  • 3 V.S.A. §§ 121–131, Professional Regulation
  • Board of Chiropractic Administrative Rules
Examination sources