GENERAL RULES AND LICENSING
As used in OAR Chapter 811, unless otherwise required by context:
(1) "Chiropractic Physician" means a physician licensed to practice Chiropractic under the provisions of ORS 684.040.
(2) "Advertising" means any form of promotional (educational) information.
(3) "Food" means nutritive material taken into an organism for the growth, work, or repair and for maintaining the vital processes; anything that nourishes or sustains.
(4) "Patient" means any person who is examined, treated, or otherwise provided chiropractic services whether or not the person has entered into a physician/patient relationship or has agreed to pay a fee for services.
Stat. Auth.: ORS 684
Stats. Implemented: ORS 684.150
Hist.: 2CE 3, f. 10-9-59; 2CE 5, f. & ef. 6-22-66; 2CE 6, f. 2-10-67, ef. 12-31-68; 2CE 7, f. 12-19-67; 2CE 9, f. 10-16-70; 2CE 11, f. 6-20-72, ef. 7-1-72; 2CE 1-1978, f. 6-16-78, ef. 7-1-78; CE 2-1992(Temp), f. 4-22-92, cert. ef. 4-27-92; CE 4-1992, f. & cert. ef. 9-29-92
Each person holding a license to practice Chiropractic in the State of Oregon under the laws administered by this Board shall file their proper and current business address or their mailing address if they are not currently in practice, with the Board at its office. Each individual shall immediately notify this Board in writing at its office address of any change in mailing or business address, giving both the old and the new address.
Stat. Auth.: ORS 684
Stats. Implemented: ORS 684.054
Hist.: 2CE 3, f. 10-9-59; 2CE 9, f. 10-16-70; 2CE 1-1978, f. 6-16-78, ef. 7-1-78; CE 3-1990, f. & cert. ef. 5-17-90
Procedure in Disciplinary Proceedings
All proceedings relating to the refusal to grant, suspension, or revocation of a license to practice Chiropractic or for the reissuance or reinstatement of a license which has been suspended or revoked or for the disciplining of licensing in any manner shall be conducted in accordance with the provisions of the Rules of Administrative Procedure which are filed with the Secretary of State in accordance with the Chiropractic Act of the State of Oregon (OAR 811-001-0005).
Stat. Auth.: ORS 183 & ORS 684
Stats. Implemented: ORS 183.341 & ORS 684.155(8)
Hist.: 2CE 3, f. 10-9-59; 2CE 9, f. 10-16-70; 2CE 1-1978, f. 6-16-78, ef. 7-1-78
Display of License
Each person holding a license to practice Chiropractic in the State of Oregon under laws administered by this Board shall display the license in a conspicuous place in his principal office, place of business, or place of employment. The yearly certification should be on display with the license certificate.
Stat. Auth.: ORS 684
Stats. Implemented: ORS 684.155
Hist.: 2CE 3, f. 10-9-59; 2CE 9, f. 10-16-70; 2CE 1-1978, f. 6-16-78, ef. 7-1-78; BCE 3-2000, cert. ef. 8-23-00
Duty to Report
(1) It shall be the duty of every licensee to notify the Board's administrative office or any member of this Board of any violation of the Act or of these rules in order that the Board may take appropriate investigative and corrective or disciplinary action.
(2) Any person who reports or provides factual information to the Board under this rule and who provides such information in good faith shall not be subject to suit for civil damages as a result thereof.
Stat. Auth.: ORS 684
Stats. Implemented: ORS 684.200
Hist.: 2CE 3, f. 10-9-59; 2CE 9, f. 10-16-70; 2CE 1-1978, f. 6-16-78, ef. 7-1-78; 2CE 6-1983, f. 11-22-83, ef. 12-1-83; CE 1-1993, f. 3-1-93, cert. ef. 4-1-93
(1) Senior interns at a chiropractic college may obtain clinic instruction hours at a licensee's office while under the immediate on-site supervision of a licensed Chiropractic Physician, upon written notification by the college's clinic administrator to the Board.
(2) Interns shall wear name badges identifying them as senior interns and shall not use the title "Doctor."
(3) A student who has completed a course in Physiological Therapeutics from an approved college may be employed in the office of a licensed Chiropractor to work as a certified Ancillary Personnel without the necessity of first having to complete the training program as outlined in OAR 811-010-0110(2)(a). Students employed as Ancillary Personnel must comply with OAR 811-010-0110(1)-(18).
Stat. Auth.: ORS 684
Stats. Implemented: ORS 684.020 & ORS 648.150
Hist.: 2CE 3, f. 10-9-59; 2CE 9, f. 10-16-70; 2CE 1-1978, f. 6-16-78, ef. 7-1-78; 2CE 2-1979, f. 8-15-79, ef. 9-15-79; 2CE 2-1984, f. 8-14-84, ef. 9-1-84; 2CE 4-1985, f. 11-13-85, ef. 12-1-85; CE 4-1993, f. & cert. ef. 5-26-93; BCE 2-2002, f. & cert. ef. 5-29-02
A person licensed to practice Chiropractic under the laws of another state or states for at least five years may apply for reciprocity with the Oregon Board of Chiropractic Examiners for a chiropractic license in Oregon. An application and $150 fee shall be submitted and must be accompanied by all items required by ORS 684.040(2)(a), (b), (c), (d) and (e), and the following:
(1) The applicant will present a certified transcript from the Board of Chiropractic Examiners in the state(s) where licensed equivalent to the Oregon Clinical Proficiency Examination (Oral/Practical and X-ray) or the National Board of Chiropractic Examiners Part IV, including a state or national examination in physiotherapy
(2) The Board may also require a written and/or oral examination listed in section (1) in which there is no official transcript available.
(3) The applicant will have furnished a certified statement from the Board of Chiropractic Examiners in the state(s) where licensed, that the applicant is not guilty of unprofessional or unethical practices or the subject of any pending disciplinary actions in that state.
(4) Any applicant for reciprocity, licensed in another state prior to July 1, 1992, is not required to have passed the Part III examination given by the National Board of Chiropractic Examiners.
(5) Upon qualification for licensure, the applicant will submit the $100 initial license fee.
Stat. Auth.: ORS 684
Stats. Implemented: ORS 684. 040 & ORS 684.060
Hist.: 2CE 3-1982, f. 7-1-82, ef. 8-1-82; 2CE 2-1983, f. 7-19-83, ef. 8-1-83; 2CE 2-1985, f. 11-13-85, ef. 12-1-85; CE 1-1993, f. 3-1-93, cert. ef. 4-1-93; CE 4-1997, f. & cert. ef. 11-3-97; BCE 3-2000, cert. ef. 8-23-00; BCE 2-2002, f. & cert. ef. 5-29-02
(1) Members of the State Board of Examiners during their terms as such shall maintain a position of strict neutrality.
(2) Board members shall receive a per diem of $155 a day for board meetings, conference attendance and presentations.
Stat. Auth.: ORS 684
Stats. Implemented: ORS 684.150
Hist.: 2CE 9, f. 10-16-70; 2CE 1-1978, f. 6-16-78, ef. 7-1-78; BCE 1-1998, f. & cert. ef. 2-5-98; BCE 2-2009, f. & cert. ef. 12-22-09
Attendance at Board Meetings
Board meetings are public meetings and are open for attendance by any person wishing to be present.
(1) The Board is composed of seven members appointed by the Governor of the State of Oregon.
(2) Four members present at any meeting shall constitute a quorum and therefore the regular or special business of the Board may be conducted.
Stat. Auth.: ORS 684
Stats. Implemented: ORS 684.130 & ORS 684.140
Hist.: 2CE 3, f. 10-9-59; 2CE 9, f. 10-16-70; 2CE 1-1978, f. 6-16-78, ef. 7-1-78; CE 4-1997, f. & cert. ef. 11-3-97
Fitness Determinations for Licensure; State and Nationwide Criminal Background Checks
(1) Purpose. The purpose of this rule is to provide for the reasonable screening of subject individuals in order to determine if they have a history of criminal behavior such that they are not fit to be granted a license or certificate, registration, permit in occupations, or professions covered by Oregon Laws 2005, ch. 730.
(2) These rules are to be applied when evaluating the criminal history of a subject individual and conducting fitness determinations based upon such history. The fact that a subject individual is approved does not guarantee the granting of a license, certification, registration, or permit.
(3) "Subject individual" means a person from whom the Board may require fingerprints for the purpose of enabling the Board of Chiropractic Examiners to request a state or nationwide criminal records check. Under this chapter, subject individual means applicants for doctor of chiropractic license and any licensee under investigation as ordered by the Board.
(4) The Board may request that the Department of State Police conduct a Criminal History Check and a National Criminal History Check, using fingerprint identification, of subject individuals. The Board may conduct criminal records checks on subject individuals and any licensee/certificate holder under investigation through the Law Enforcement Data System maintained by the Department of State Police in accordance with rules adopted, and procedures established, by the Department of State Police. Criminal history information obtained from the Law Enforcement Data System must be handled in accordance with applicable Oregon State Police requirements in ORS Chapter 181 and OAR 257-015.
(5) Additional Information Required. In order to conduct an Oregon and National Criminal History Check and fitness determination, the Board may require additional information from the subject individual as necessary, such as but not limited to, proof of identity; residential history; names used while living at each residence; or additional criminal, judicial, or other background information.
(6) The Board shall determine whether an applicant is fit to be granted a license or certification, based on the criminal records background check, on any false statements made by the individual regarding the criminal history of the individual, on any refusal to submit or consent to a criminal records check including fingerprint identification, and any other pertinent information obtained as part of an investigation. If a subject individual is determined to be unfit, then the individual may not be granted a license or certification. The Board may make a fitness determination conditional upon applicant's acceptance of probation, conditions, limitations, or other restrictions upon licensure.
(7) Except as otherwise provided in section 6 in making the fitness determination the Board shall consider:
(a) The nature of the crime;
(b) The facts that support the conviction or pending indictment or that indicate the making of the false statement;
(c) The relevancy, if any, of the crime or the false statement to the specific requirements of the subject individual's present or proposed position, services, employment, license, certification or registration; and
(d) Intervening circumstances relevant to the responsibilities and circumstances of the position, services, employment, license, certification, registration or permit. Intervening circumstances include but are not limited to:
(A) The passage of time since the commission of the crime;
(B) The age of the subject individual at the time of the crime;
(C) The likelihood of a repetition of offenses or of the commission of another crime;
(D) The subsequent commission of another relevant crime;
(E) Whether the conviction was set aside and the legal effect of setting aside the conviction; and
(F) A recommendation of an employer.
(8) All background checks shall be requested to include available state and national data, unless obtaining one or the other is an acceptable alternative.
(9) Criminal offender information is confidential. Dissemination of information received under ORS (HB 2157) is only to people with a demonstrated and legitimate need to know the information. The information is part of the investigation of an applicant, licensee and certificate holder and as such is confidential pursuant to ORS 676.175(1). All original fingerprint cards will be destroyed per ORS (HB 2157)
(10) The Board will permit the subject individual for whom a fingerprint-based criminal records check was conducted to inspect the individual's own state and national criminal offender records and, if requested by the subject individual, provide the individual with a copy of the individual's own state and national criminal offender records.
(11) The Board may consider any felony or misdemeanor conviction involving moral turpitude.
(12) If an applicant, licensee or certificate holder is determined not to be fit for a license and/or certificate, they are entitled to a contested case process pursuant to ORS 183.413–183.470. Challenges to the accuracy or completeness of information provided by the Department of State Police, Federal Bureau of Investigation and agencies reporting information must be made through the Department of State Police, Federal Bureau of Investigation or reporting agency and not through the contested case process pursuant to ORS 183.
(13) Request for Re-Evaluation Following Correction. If the subject individual successfully contests the accuracy or completeness of information provided by the Oregon State Police, the Federal Bureau of Investigation or other agency reporting information to the Board, the Board will conduct a new criminal history check and re-evaluate the criminal history upon submission of a new criminal history request form.
(14) If the subject individual discontinues the application or fails to cooperate with the criminal history check process then the application is considered incomplete.
Stat. Auth.: ORS 684, 684.100, 183, (HB2157), OL 2005, ch. 730
Stats. Implemented: ORS 684.100, 183, (HB2157), OL 2005, ch. 730
Hist.: BCE 1-2006(Temp), f. & cert. ef. 2-9-06 thru 8-1-06; BCE 4-2006, f. & cert. ef. 8-2-06
Application and Examination of Applicants
(1) Applicants shall be examined according to ORS 684.050 or 684.052.
(2) The Board shall issue a Candidate's Guide, which contains all necessary examination information. The Guide shall be mailed to each applicant, along with other examination information for a fee of $10.
(3) Fee and application deadlines are as follows:
(a) Application and $150 fee for chiropractic exams must be postmarked no later than 30 days prior to the first exam day.
(b) Request for retake of any section of the exam must be submitted in writing with a $100 reexamination fee postmarked no later than 30 days prior to the first exam day.
(c) Supporting documentation must be postmarked no later than 30 days prior to the first exam day.
(d) Deadlines may be waived by the Board for good cause.
(e) A complete set of fingerprints obtained from any state or local law enforcement agency, or from any other agency approved by the Board. Applicants shall use forms prescribed by the Board.
(f) Criminal background check fee of $47.25 must be postmarked no later than 30 days prior to the first exam day.
(4) Documents to be submitted prior to approval to take the Oregon Specifics Examinations:
(a) A completed, official application including a recent photograph and fingerprints;
(b) Evidence of the applicant's good moral character on the letterhead stationary of a Chiropractic physician;
(c) A signed affidavit attesting to successful completion of at least two years of liberal arts and sciences study in an accredited college. Original transcripts must be provided if requested by the Board; and
(d) A transcript certified by the registrar, from an approved chiropractic college, including transcripts of coursework as required by OAR 811-020-0006 (minimum Educational Requirements for physiotherapy and minor surgery/ proctology). A transcript of grades is necessary from each chiropractic college attended.
(e) An official transcript of passing grades from the National Board of Chiropractic Examiners on Part I, II and III and physiotherapy.
(5) Documents and fee to be submitted prior to licensure include:
(a) $100 initial license fee.
(b) A diploma or other evidence of graduation certified by the registrar from an approved Chiropractic college.
(c) An official transcript of passing grades from the National Board of Chiropractic Examiners Part IV.
(6) All applicants must take and pass the Oregon Specifics Examination consisting of written examination in ethics and jurisprudence, obstetrics and gynecology, minor surgery and proctology. Applicants who have previously taken and passed obstetrics and gynecology, and/or minor surgery and proctology within the last five years from the date of application as received by the Board are not required to retake these tests, however all applicants must take and pass ethics and jurisprudence.
(7) Oregon Specifics Examination Grades:
(a) The Board shall determine the passing scores. Each section of the examination shall be graded separately using the Angoff Method, a criterion referenced model. Passing scores fluctuate between sections and between examinations. All examinations are designed to test minimal competency to protect the public health and safety.
(b) Examination grades will be released within 30 days of the examination date.
(8) Regrades: any request for regrade must be submitted in writing to the Board no later than 45 days after the date of the examination. A regrade involves a manual tally of points earned for the specific examination requested.
(9) An applicant failing to achieve a passing grade, as determined by the Board for each examination section, may make application to the Board for a re-examination in the failed sections.
(10) An applicant must take at least one of the failed section(s) within 13 months following the date when the applicant took the entire examination. If the applicant fails to re-test on at least one failed section within 13 months of the last examination, the file shall become inactive and the applicant must re-apply and take the entire examination.
(11) An applicant attempting to give aid or accepting aid from another while examinations are in progress shall fail the examination and will not be allowed to take the examination for a period of five (5) years.
(a) The application fee is non-refundable; and
(b) The retake fee can be refunded until 10 days prior to the test date.
(c) The background check fee is non-refundable.
(13) The Board may reject applications for good cause, including evidence of unprofessional behavior.
(14) Effective June 1, 2001 applicants who have completed all requirements for licensure, including passage of all required examinations, must submit the initial license fee to obtain license within one year from the date they completed all the requirements. An applicant's initial license will be valid for a minimum of 180 days. However, if the applicant's next birth date is within the 180 days, the initial license will be valid for an additional 12 months beyond the applicant's birth date.
Stat. Auth.: ORS 684
Stats. Implemented: ORS 684.050 & 684.052
Hist.: 2CE 3, f. 10-9-59; 2CE 7, f. 7-9-68; 2CE 9, f. 10-16-70; 2CE 1-1978, f. 6-16-78, ef. 7-1-78; 2CE 2-1985, f. 11-13-85, ef. 12-1-85; CE 1-1993, f. 3-1-93, cert. ef. 4-1-93; CE 6-1993(Temp), f. 9-29-93, cert. ef. 11-3-93; CE 1-1994, f. & cert. ef. 7-26-94; CE 4-1995, f. & cert. ef. 12-6-95; CE 2-1997, f. & cert. ef. 7-29-97; CE 3-1997(Temp), f. & cert. ef. 9-25-97; CE 4-1997, f. & cert. ef. 11-3-97; BCE 3-2000, cert. ef. 8-23-00; BCE 1-2001, f. 1-31-01, cert. ef. 2-1-01; BCE 2-2002, f. & cert. ef. 5-29-02; BCE 2-2003, f. & cert. ef. 12-11-03; BCE 1-2004, f. & cert. ef. 6-7-04; BCE 2-2006, f. & cert. ef. 2-9-06; BCE 5-2006, f. & cert. ef. 11-24-06l: BCE 1-2007, f. & cert. ef. 11-30-07
The license period for chiropractic physicians in Oregon is a period equal to 12 months, expiring on the last day of the licensee's birth date month.
(1) At least 30 days prior to the renewal due date the board shall mail to the last-known professional address of each licensed chiropractor a notice of the requirements of ORS 684.090 and 684.092.
(2) Active licensees must meet the requirements of ORS 684.092 during the 12 months prior to the expiration of the Certificate of Registration and pay to the board the annual $350 registration fee.
(3) Licensees may apply for a $262.50 senior active license within 45 days prior to the expiration of the Certificate of Registration if the licensee meets all of the following requirements:
(a) Is 60 years of age or older; and
(b) Has held an active chiropractic license for at least 25 years.
(4) Senior active licensees shall fulfill the requirements of ORS 684.090, 684.092 and 684.094 except that continuing chiropractic education shall not be less than 6 hours per year.
(5) Senior active licensees shall show proof at the time of license renewal that the criteria of subsection (3)(a) and (b) of this rule have been met.
(6) Active licensees may apply for a $175 inactive license within 45 days prior to the expiration of the Certificate of Registration if the licensee qualifies because of one of the following:
(a) Military service;
(b) Peace Corps or VISTA service;
(c) Retirement; or
(d) Licensee is not engaged in the practice of chiropractic in Oregon.
(7) Inactive licensees do not have to fulfill the requirements of ORS 684.092.
(8) Inactive licensees who want to reinstate their active license during the same fiscal year shall pay the full active annual registration fee and provide proof of compliance with ORS 684.092.
(9) Inactive licensees who apply for reinstatement after five or more years after the date of transfer to inactive license, or who cannot demonstrate to the satisfaction of the Board they have been in active practice during the preceding five years, may be required to establish their competency in the practice of chiropractic by
(a) Receiving a passing grade on all or part of an examination required by the Board; or
(b) Submitting a letter showing proof of active practice and any disciplinary actions from the state boards where licensure is maintained.
(10) A license that is not renewed on time may not be renewed except:
(a) Upon written application and payment to the board of the fee for the license category plus a delinquent fee of $100 for each week or portion thereof, not to exceed $500.
(b) Upon compliance with or exemption from the requirements of ORS 684.092.
Stat. Auth.: ORS 684
Stats. Implemented: ORS 684.090 & 684.092
Hist.: 2CE 9, f. 10-16-70; 2CE 13(Temp), f. & ef. 4-13-76 through 8-10-76; 2CE 1-1978, f. 6-16-78, ef. 7-1-78; 2CE 1-1986, f. 4-14-86, ef. 5-1-86; Suspended by CE 1-1989(Temp), f. & cert. ef. 7-28-89; CE 1-1993, f. 3-1-93, cert. ef. 4-1-93; CE 2-1995, f. & cert. ef. 10-30-95; BCE 3-2000, cert. ef. 8-23-00; BCE 2-2002, f. & cert. ef. 5-29-02; BCE 2-2004, f. & cert. ef. 6-7-04; BCE 1-2007, f. & cert. ef. 11-30-07; BCE 3-2013, f. 10-8-13, cert. ef. 11-1-13
The Board may at any time direct and order a mental, physical or professional competency examination or any combination thereof, and make such investigations in order to fully inform itself with respect to the performance or conduct of a licensee pursuant to ORS 684.100(5), (6), and (7):
(1) The professional competency examination shall be administered as a written or oral examination. The Board may elect to administer one or both examinations or may elect to use a nationally recognized competency examination such as the National Board of Chiropractic Examiners (NBCE) Part IV or Special Purposes Examination for Competency (SPEC). The Board may elect to use other methods of competency examination, including but not limited to psychological examinations conducted by a licensed psychologist or psychiatrist.
(a) The written examination shall be determined by the Board according to ORS 684.100(5), (6) and (7);
(b) The Board shall make a determination of the passing grade. When the Board elects to use either the NBCE Part IV or SPEC examination, the passing grade suggested by the NBCE shall be adopted.
(2) The examinee shall be given no less than two weeks' notice of the date, time and place of any examination administered.
(3) Failure to achieve a passing grade on any competency examination shall constitute grounds for suspension or revocation of examinee's license by the Board.
(4) Any licensee by practicing Chiropractic shall be deemed to have given consent to submit to any competency examination including a mental or physical examination when so directed by the Board and, further, to have waived all objection to the admissibility of information derived from such mental or physical or professional competency examination on the grounds of statutory privileged communications.
Stat. Auth.: ORS 684
Stats. Implemented: ORS 684.100(6)
Hist.: 2CE 1-1981, f. 4-8-81, ef. 6-1-81; CE 1-1987, f. 2-13-87, ef. 3-1-87; CE 4-1990, f. & cert. ef. 5-17-90; BCE 3-2000, cert. ef. 8-23-00
Food and Drugs
(1) The Chiropractic Physician is prohibited by law from the administration or dispensation of prescription drugs or the writing of prescription therefor.
(2) The Chiropractic Physician is specifically authorized to issue orders for, or procure anesthetics, and antiseptics; also opaque media for X-ray diagnosis as authorized by section (1) of ORS 684.025; also such other items that may fall within the provisions of the Chiropractic Act.
(3) A person has received training in the administration of emergency use of oxygen if the person has completed a course in emergency medical procedures that includes the use of emergency oxygen at a chiropractic college or otherwise can demonstrate familiarity with the protocols for emergency oxygen use.
Stat. Auth.: ORS 684
Stats. Implemented: ORS 684.015 & 684.025
Hist.: 2CE 3, f. 10-9-59; 2CE 9, f. 10-16-70; 2CE 1-1978, f. 6-16-78, ef. 7-1-78; BCE 3-2000, cert. ef. 8-23-00; BCE 1-2007, f. & cert. ef. 11-30-07
Guide to Policy and Practice Questions
The Board's Guide to Policy and Practice Questions, originally dated January 14, 1998, and last amended May 23, 2013, is hereby adopted.
[Publications: Publications referenced are available from the agency.]
Stat. Auth.: ORS
Stats. Implemented: ORS 684.010 & 684.155
Hist.: BCE 3-1998, f. & cert. ef. 8-4-98; BCE 3-2000, cert. ef. 8-23-00; BCE 1-2003, f. & cert. ef. 9-17-03; BCE 3-2006, f. & cert. ef. 3-27-06; BCE 1-2007, f. & cert. ef. 11-30-07; BCE 1-2013, f. & cert. ef. 6-6-13
(1) The Board of Chiropractic Examiners shall appoint and form committees for Peer Review in accordance with ORS 684.185.
(a) "Peer Review" means the evaluation of the efficacy and appropriateness of health care and services provided to a patient based on those standards of care, skill and treatment which are recognized as being reasonable, prudent and acceptable under similar conditions and circumstances by Oregon chiropractors;
(b) The Board's Practice and Utilization Guidelines (NMS) as published in 1991, may be used as a guide to assist the Board and Peer Review Committee.
(c) "Peer Review Committee" means a committee of seven Chiropractic physicians, licensed under ORS Chapter 684, who qualify under 684.185(2). Each Peer Review Committee may include two observation members appointed by the Board. Four members present at any meeting shall constitute a quorum, and allow the Peer Review Committee to carry out its business.
(3) Peer Review will occur upon submission of a request for review by a patient, the patient's representative, insurer or health care provider, made in writing to the Board and submitted with sufficient information so that the board would find the case to be appropriate for a Peer Review investigation. Such information would include, where available, chart notes and written reports of the physician, bills, invoices, and insurance claim forms, statements of witnesses and complainants, and any previous correspondence between the physician and any other relevant person.
(4) The Peer Review Committee may request an informal interview with any person, including the physician being reviewed and, when appropriate, may request the opinion of other health care providers for reviews involving a particular area of practice.
(5) Any member of the Peer Review Committee shall withdraw from any investigation which concerns a close personal and/or professional involvement or association with the physician under review, patient, patient's representative, or insurer; lack of impartiality; or if the member is in professional competition in the community with the reviewed doctor. The doctor being reviewed may protest being reviewed by a specific Peer Review member and may be accompanied by legal counsel.
(6) Peer Review Committee shall consider all information submitted to it by the Board. The Committee shall also consider any written and/or oral comments made by the physician being reviewed, and the involved patient. The committee shall meet, complete the review, and submit a written report to the Board. This report should be adopted by a majority of the committee members at the Peer Review Committee meeting, or by circulating draft reports to the members for their written approval. The report shall include a brief statement of the facts of the case, any violation of rules or statutes pertaining to the practice of Chiropractic and/or any deviation from accepted standards, along with any additional comments which might assist the board in taking appropriate action.
(7) The members of the Peer Review Committee shall be paid mileage and per diem at the state rate while performing official functions.
Stat. Auth.: ORS 684.185
Stats. Implemented: ORS 684.185
Hist.: 2CE 1-1980, f. 1-16-80, ef. 2-1-80; CE 1-1988, f. & cert. ef. 5-17-88; CE 1-1991, f. & cert. ef. 10-21-91; CE 4-1997, f. & cert. ef. 11-3-97; BCE 2-2003, f. & cert. ef. 12-11-03
(1) The license period for Chiropractic Assistants begins on August 1 and ends on July 31. A 30 day grace period will follow whereupon the Chiropractic Assistant may continue to practice. Any Chiropractic Assistant who has not renewed by September 1 must cease practice.
(2) Chiropractic Assistants may be certified upon compliance with the following standards and procedures:
(a) The Chiropractic Assistant applicant shall successfully complete a Board approved training course offered by an association, college or otherwise approved person. The initial training course shall be at least twelve hours in length, of which eight hours shall be didactic training and four hours shall be practical training.
(A) The practical training must be in physiotherapy, electrotherapy and hydrotherapy administered by a health care provider licensed to independently provide those therapies.
(B) A chiropractic physician may perform the initial practical training provided this is direct contact time.
(C) The initial training must have been completed within 60 days preceding the application submission date;
(b) The applicant shall complete an application form and an open book examination supplied by the Board;
(c) If an applicant has a certificate or license from another state and adequate documentation of training, the Board may waive the requirement for the initial training course; and
(d) A person initially certified between March 1st and May 31st is exempt from the continuing education requirement for renewal.
(3) The training course verification form, completed application form, completed examination, and fees in the following amounts shall be submitted to the Board:
(a) A non-refundable application fee — $50;
(b) A non-refundable examination fee — $35; and
(c) An initial certification fee — $50. A refund of the certification fee will only be allowed when requested within 60 days of the initial application.
(d) In circumstances beyond the applicant’s control (e.g. board review of criminal history) the Board may determine to refund the fees or portion thereof.
(e) In the event the Board requires the NBCE chiropractic assistant examination in lieu of the Board’s examination, the fee in subsection (b) will be waived.
(4) The Board shall maintain an incomplete application file for six months from the date the application was received; afterward, applicants will need to re-apply.
(5) The applicant shall be at least 18 years of age.
(6) The Chiropractic Assistant shall not perform electrotherapy, hydrotherapy, or physiotherapy until he or she receives a certificate from the Board.
(7) A Chiropractic Assistant shall be directly supervised by the Chiropractor at all times. The supervising Chiropractor must be on the premises.
(8) The scope of practice does not include performing physical examinations, taking initial histories, taking X-rays, interpretation of postural screening, doing manual muscle testing or performing osseous adjustments or manipulations.
(9) Chiropractic Assistants shall report to the Board, in writing, his/her mailing address and place of employment. Notification of a change of mailing address or place of employment must be made within 10 days of the change.
(10) On or before each June 1, the Board of Examiners shall send the renewal notice to the Chiropractic Assistant at the last known mailing address.
(11) On or before each July 31 the Chiropractic Assistant shall mail to the Board of Examiners the renewal form with a renewal fee of $75. A certificate that is not renewed on time may not be renewed except:
(a) Upon written application and payment to the board of the renewal fee plus a delinquent fee of $25 for renewals submitted between August 1 and August 31 of each year; or
(b) Upon written application and payment to the board of the renewal fee plus a delinquent fee of $50 for renewals submitted on September 1 or later; and
(c) Upon submission of proof of compliance with or exemption from the requirements of ORS 684.092.
(12) A Chiropractic Assistant has up to one year following their July 31 renewal date to renew and reinstate their certificate upon meeting the provisions of (11)(a) through (c) above. After 12 months a person must restart the application process.
(13) Continuing education programs may be comprised of subjects that are pertinent to clinical practices of chiropractic. Continuing education must meet the criteria outlined in OAR 811-015-0025 sections (8), (9) and (10). No continuing education hours may be carried over into the next renewal year. Evidence of successful completion of six hours of continuing education during the 12 months preceding the renewal must be submitted upon request by the board.
(14) The Chiropractic Assistant's certificate shall be displayed at all times in the Chiropractic Physician's office during the Chiropractic Assistant's employment.
(15) The Board may refuse to grant a certificate to any applicant, may suspend or revoke a certificate, or may impose upon an applicant for certification or Chiropractic Assistant a civil penalty not to exceed $1,000 upon finding of any of the following:
(a) Cause, which is defined as, but not limited to, failure to follow directions, unprofessional or dishonorable conduct, injuring a patient, or unlawful disclosure of patient information. The supervising Chiropractic Physician is required to notify the Board, in writing, of any dismissal of a Chiropractic Assistant for cause within ten days. The Board shall determine if there is cause for action and shall be governed by the rules of the Board adopted pursuant to ORS Chapter 183;
(b) Conviction of a misdemeanor involving moral turpitude or a felony; or
(c) Failure to notify the Board of a change of location of employment as required by these rules.
(16) Unprofessional or dishonorable conduct is defined as: any unethical, deceptive, or deleterious conduct or practice harmful to the public; any departure from, or failure to conform to, the minimal standards of acceptable Chiropractic Assistant practice; or a willful or careless disregard for the health, welfare or safety of patients, in any of which cases proof of actual injury need not be established. Unprofessional conduct shall include, but not be limited to, the following acts of a Chiropractic Assistant:
(a) Engaging in any conduct or verbal behavior with or towards a current patient that may reasonably be interpreted as sexual, seductive, sexually demeaning or romantic (also see ORS 684.100).
(b) A certificate holder shall not engage in sexual relations or have a romantic relationship with a current patient unless a consensual sexual relationship or a romantic relationship existed between them before the commencement of the Chiropractic Assistant-patient relationship.
(A) "Sexual relations" means:
(i) Sexual intercourse; or
(ii) Any touching of sexual or other intimate parts of a person or causing such person to touch the sexual or other intimate parts of the Chiropractic Assistant for the purpose of arousing or gratifying the sexual desire of either Chiropractic Assistant or patient.
(B) A patient's consent to, initiation of or participation in sexual behavior or involvement with a Chiropractic Assistant does not change the nature of the conduct nor lift the prohibition.
(C) In determining whether a patient is a current patient, the Board may consider the length of time of the Chiropractic Assistant-patient contact, evidence of termination of the Chiropractic Assistant-patient relationship, the nature of the Chiropractic Assistant-patient relationship, and any other relevant information.
(c) Use of protected or privileged information obtained from the patient to the detriment of the patient.
(d) Practicing outside the scope of the practice of a Chiropractic Assistant in Oregon;
(e) Charging a patient for services not rendered;
(f) Intentionally causing physical or emotional injury to a patient;
(g) Directly or indirectly engaging in threatening, dishonest, or misleading fee collection techniques;
(h) Soliciting or borrowing money from patients;
(i) Possessing, obtaining, attempting to obtain, furnishing, or prescribing controlled drugs to any person, including self, except as directed by a person authorized by law to prescribe drugs; illegally using or dispensing controlled drugs;
(j) Aiding, abetting, or assisting an individual to violate any law, rule or regulation intended to guide the conduct of Chiropractic Assistants or other health care providers; or
(k) Violating the rights of privacy or confidentiality of the patient unless required by law to disclose such information;
(l) Perpetrating fraud upon patients or third party payors, relating to the practice of chiropractic;
(m) Using any controlled or illegal substance or intoxicating liquor to the extent that such use impacts the ability to safely conduct the practice of a Chiropractic Assistant;
(n) Practicing as a Chiropractic Assistant without a current Oregon certificate;
(o) Allowing another person to use one's Chiropractic Assistant certification for any purpose;
(p) Resorting to fraud, misrepresentation, or deceit in applying for or taking the certificate examination or obtaining a certificate or renewal thereof;
(q) Impersonating any applicant or acting as a proxy for the applicant in any Chiropractic Assistant certificate examination;
(r) Disclosing the contents of the certificate examination or soliciting, accepting, or compiling information regarding the contents of the examination before, during, or after its administration;
(s) Failing to provide the Board with any documents requested by the Board;
(t) Failing to fully cooperate with the Board during the course of an investigation, including but not limited to, waiver of confidentiality privileges, except attorney-client privilege;
(u) Claiming any academic degree not actually conferred or awarded;
(v) Disobeying a final order of the Board; and
(w) Splitting fees or giving or receiving a commission in the referral of patients for services.
(x) Receiving a suspension or revocation of a certificate or license for a Chiropractic Assistant, or other license or certificate, by another state based upon acts by the Chiropractic Assistant or applicant that describes acts similar to this section. A certified copy of the record of suspension or revocation of the state making that is conclusive evidence thereof.
(17) The service of the Chiropractic Assistant is the direct responsibility of the licensed Chiropractic Physician. Violations may be grounds for disciplinary action against the Chiropractic Physician under ORS 684.100(9).
Stat. Auth.: ORS 684.155
Stats. Implemented: ORS 684.054 & 684.155(c)(A)
Hist.: CE 1-1990, f. & cert. ef. 2-15-90; CE 5-1992(Temp), f. 10-21-92, cert. ef. 10-23-92; CE 2-1993, f. 3-1-93, cert. ef. 4-23-93; CE 4-1997, f. & cert. ef. 11-3-97; BCE 3-2000, cert. ef. 8-23-00; BCE 1-2001, f. 1-31-01, cert. ef. 2-1-01; BCE 1-2002, f. & cert. ef. 2-6-02; BCE 2-2008, f. & cert. ef. 10-9-08; BCE 2-2010, f. & cert. ef. 6-15-10; BCE 1-2012, f. & cert. ef. 5-31-12; BCE 3-2013, f. 10-8-13, cert. ef. 11-1-13; BCE 4-2013, f. 10-21-13, cert. ef. 11-1-13
Chiropractic Professional Corporation and Business Entity Majority Ownership
(1) Definitions. As used in this rule, unless the context requires otherwise:
(a) "Business entity" means:
(A) A professional corporation organized under ORS Chapter 58, predecessor law or comparable law of another jurisdiction;
(B) A limited liability company organized under ORS Chapter 63 or comparable law of another jurisdiction;
(C) A partnership organized in Oregon after January 1, 1998, or that is registered as a limited liability partnership, or that has elected to be governed by ORS Chapter 67 or comparable law of another jurisdiction; or
(D) A limited partnership organized under ORS Chapter 70, predecessor law or comparable law of another jurisdiction.
(b) "Majority ownership interest" means more than 50 percent of:
(A) The issued voting stock of a professional corporation;
(B) The members of a limited liability company; or
(C) Participation in the profits of a partnership.
(c) "Organizational document" means:
(A) The articles of incorporation of a professional corporation, or comparable document of another jurisdiction;
(B) The articles of organization of a limited liability company, or comparable document of another jurisdiction;
(C) The partnership agreement and, for a limited liability partnership, its registration, or comparable document(s) of another jurisdiction; or
(D) A certificate of limited partnership, or comparable document of another jurisdiction.
(d) "Owner" means a voting shareholder of a professional corporation, member of a limited liability company, or partner of a partnership.
(e) "Principal" means a person who is a director of a professional corporation, manager of a limited liability company, or general partner of a limited partnership.
(2) Requirements for business entities organized to practice chiropractic. The purpose of this rule is to protect the public by ensuring that business entities are organized for the purpose of providing chiropractic health care by majority owned and controlled Oregon licensed chiropractic physicians and/or chiropractic health care in a multi-disciplinary setting which are majority owned and controlled by Oregon licensed health care professionals.
(a) In a business entity organized for the purpose of practicing chiropractic:
(A) The majority ownership interest shall be held by chiropractic physicians licensed in this state to practice chiropractic.
(B) A majority of the principals shall be chiropractic physicians who are licensed in this state to practice chiropractic.
(C) All officers except the secretary and treasurer, if any, must be chiropractic physicians who are licensed in this state to practice chiropractic. Any two or more offices may be held by the same person.
(b) A professional corporation may be a shareholder of a professional corporation organized for the purpose of practicing chiropractic solely for the purpose of effecting a reorganization as defined in the Internal Revenue Code.
(c) Business entities organized before August 15, 2001 that are not in compliance with the provisions of this rule have until August 15, 2002 to come into compliance.
(d) The Board of Chiropractic Examiners has the discretion to allow business entities to apply for a waiver of the majority ownership requirement provided full disclosure of clinic ownership is provided to the Board of Chiropractic Examiners, a plan and timetable is presented for a transition to meet the requirements of this rule, and the Board finds that the health and welfare of the patient is the first priority of the Chiropractic physicians and business entity.
(e) Upon a finding that a holder or owner of a chiropractic practice has failed to comply with the provisions of this rule or the regulations prescribed by the Board pursuant to the practice of chiropractic, the Board of Chiropractic Examiners may consider the failure to comply with this rule as a violation of this rule which may subject a holder or owner to discipline pursuant to ORS 684.100.
(3) Powers of professional corporations organized to practice chiropractic.
(a) A professional corporation organized for the purpose of practicing chiropractic has the powers enumerated in ORS 60.077 and 60.081, except as provided otherwise by the Board of Chiropractic Examiners.
(b) A general corporation under the provisions of ORS Chapter 60 may not be organized to practice chiropractic.
(a) A proxy to exercise voting rights in a business entity organized for the purpose of practicing chiropractic may be given under the following conditions:
(A) If the voting rights belong to a chiropractic physician licensed in this state to practice chiropractic, the proxy may be given only to an owner of the same business entity who is also a chiropractic physician licensed in this state to practice chiropractic, or to an attorney licensed in this state to practice law.
(B) If the voting rights do not belong to a chiropractic physician licensed in this state to practice chiropractic, the proxy may be given only to another owner of the same business entity whether or not the other owner is a chiropractic physician licensed in this state to practice chiropractic, or to an attorney licensed in this state to practice law.
(b) No voting trust may be created to exercise the voting rights of one or more owners of a business entity organized for the purpose of practicing chiropractic.
(c) Two or more persons with voting rights in a business entity organized for the purpose of practicing chiropractic may enter into a voting agreement provided that the voting agreement does not transfer voting rights from an individual who is a chiropractic physician licensed in this state to practice chiropractic to an individual who is not so licensed. Notwithstanding any provision of this subsection, voting rights may be transferred to an attorney licensed in this state to practice law.
(5) Acquisition and disposition of ownership interest.
(a) Persons with an ownership interest in a business entity organized for the purpose of practicing chiropractic may acquire, transfer, assign or dispose of such ownership interest only in a manner that leaves the business entity in compliance with the provisions of this rule.
(b) If the majority ownership interest of a business entity organized for the purpose of practicing chiropractic is no longer held by chiropractic physician(s) licensed in this state to practice chiropractic due to such ownership interest being held by an administrator, executor, personal representative, guardian, conservator or receiver of the estate of a former owner, or by a transferee who receives such ownership interest by operation of law or court decree, such administrator, executor, personal representative, guardian, conservator, receiver or transferee may act in the same ownership capacity as the former owner, including acting in the former owner's capacity as principal or officer, until the ownership requirements are in compliance with the provisions of this rule, but not to exceed six months following receipt or transfer of such ownership interest.
(c) Subject to subsection (a) of this section, the organizational document, bylaws or agreements among owners of a business entity organized for the purpose of practicing chiropractic may provide limitations on the ability to acquire, transfer, assign or dispose of an ownership interest in the business entity.
(d) Subject to subsection (a) of this section, the articles of incorporation, bylaws or agreements among shareholders of a professional corporation may provide for the purchase or redemption of shares by the corporation.
(6) Disqualification of chiropractic physician; disposition of ownership interest.
(a) If a chiropractic physician practicing chiropractic on behalf of a business entity is disqualified from practicing chiropractic for more than six months or assumes a public office, the duties of which prohibit practicing chiropractic for more than six months under the rules of the Board of Chiropractic Examiners or other law, within 60 days after the disqualification or prohibition, the chiropractic physician's ownership interest shall be disposed of in accordance with section (5); or
(A) In the case of a professional corporation, the corporation shall have the right to redeem the shares of the chiropractic physician.
(B) In the case of a limited liability company, the chiropractic physician shall cease to be a member by withdrawal or expulsion.
(C) In the case of a partnership, the chiropractic physician shall cease to be a partner by withdrawal, dissociation or expulsion
(b) If the disposition of ownership interest under subsection (a) of this section results in less than majority ownership of the business entity by chiropractic physicians licensed in this state to practice chiropractic, the business entity shall have six months from the date of disqualification or prohibition to come into compliance with the majority ownership provisions of this rule.
(c) If a chiropractic physician practicing chiropractic on behalf of a business entity is disqualified from practicing chiropractic for six months or less or assumes a public office, the duties of which prohibit practicing chiropractic for six months or less under the rules of the Board of Chiropractic Examiners or other law, the chiropractic physician may retain interest in the business entity and may remain a principal of the business entity during the period of disqualification or prohibition, unless otherwise prohibited under the rules of the Board of Chiropractic Examiners or by law.
(7) Disposition of ownership interest upon death of owner.
(a) A business entity organized for the purpose of practicing chiropractic may provide for the disposition of the ownership interest of a deceased owner in the organizational document, in the bylaws, by agreement between owners or between the business entity and its owners, providing such disposition leaves the business entity in compliance with the provisions of this rule.
(b) If there is no provision for the disposition of a deceased owner's interest as described in subsection (a) of this section, the ownership interest shall be disposed of in any manner that leaves the business entity in compliance with the provisions of this rule and the laws of this state.
(c) If the ownership interest of a deceased owner is not disposed of within twelve months after the owner's death, a special meeting of the remaining owners shall be called within fourteen months after the owner's death to decide by vote of the remaining owners whether the business entity shall dispose of such ownership interest in accordance with the provisions of this rule, or whether the business entity shall be voluntarily dissolved. The action determined to be taken by the remaining owners shall be completed within eighteen months after the owner's death. The Board may grant an extension of this time period upon request.
(d) If the deceased owner of a business entity organized for the purpose of practicing chiropractic was the sole owner of the business entity at the time of death:
(A) The business entity shall cease the practice of chiropractic as of the date of the owner's death unless it has retained the services of another chiropractic physician licensed in this state to practice chiropractic.
(B) Notwithstanding section (2)(c) of this rule, within twelve months after the date of the owner's death, the business entity shall be dissolved unless the ownership interest of the deceased owner has been sold or assigned to one or more chiropractic physicians who are licensed in this state to practice chiropractic.
(8) Multidisciplinary Provisions. A business entity may be organized for the purpose of rendering professional services within two or more health-related licensed professions, provided the majority ownership interest is held by persons licensed in this state in a health-related licensed profession and such licensees are acting only within their license scope of practice and code of professional conduct and are subject to the disciplinary authority of their respective licensing board.
Stat. Auth.: ORS 58 & 684
Stats. Implemented: ORS 58.367 & 684.155(1)(b)
Hist.: BCE 2-2001, f. 8-14-01, cert. ef. 8-15-01; BCE 3-2002, f. & cert. ef. 10-10-02; BCE 1-2010, f. & cert. ef. 4-15-10
Other Licensed Health Care Providers
A chiropractic business entity or chiropractic physician, in accordance with decades long accepted scope of practice, may employ or contract for the services of other health care providers as part of their chiropractic practice for the purpose of providing care to patients, to the extent this does not conflict with other applicable state or federal laws. Other health care providers may include, but are not limited to, licensed massage therapists, physical therapists, athletic trainers, nurses, acupuncturists, naturopathic physicians, and physicians licensed under ORS 677.
Stat. Auth.: ORS 684.155(1)(b)
Hist.: BCE 2-2006, f. & cert. ef. 2-9-06
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