If you’re new to the chiropractic field, the terms “chiropractic assistant” and “chiropractic associate” might sound similar but these two roles are quite different in both training and function.
Whether you're a student exploring career paths or a clinic owner building your team, understanding the distinction is essential for making the right decisions.
This post breaks down the key differences between CAs and DCs including responsibilities, licensure, pay, and long-term opportunities.
What Is a Chiropractic Assistant (CA)?
A Chiropractic Assistant (CA) is a non-licensed professional who provides support within a chiropractic clinic. CAs are often the first point of contact for patients and play a key role in keeping the office running smoothly.
Typical Duties:
- Greeting patients and managing check-in
- Answering phones and scheduling appointments
- Assisting with insurance paperwork and billing
- Performing basic therapies under supervision (e.g. EMS, ultrasound)
- Preparing treatment rooms
- Supporting patient flow during busy shifts
Some states require chiropractic assistants to complete a short certification course (such as an X-ray technician or physiotherapy assistant certification), but a DC license is not required.
Who This Role Is Best For:
- Pre-chiropractic students wanting exposure to the profession
- Career changers interested in holistic health care
- Organized, people-oriented individuals looking for a clinical admin role
<Callout type="info" title="Tip for Students"> Many chiropractic students start as CAs while in school — it’s a great way to gain experience, build references, and decide if becoming a DC is right for you. </Callout>
What Is a Chiropractic Associate (DC)?
A Chiropractic Associate is a licensed Doctor of Chiropractic employed by a clinic to provide direct patient care. Associates are fully credentialed professionals capable of diagnosing conditions, adjusting patients, and managing cases.
Typical Duties:
- Conducting new patient exams
- Providing spinal and extremity adjustments
- Creating and managing treatment plans
- Performing re-evaluations and progress exams
- Educating patients on wellness and prevention
- Documenting care using EHR systems
- Collaborating with staff and CAs to ensure smooth clinic flow
Chiropractic associates must have:
- A doctorate from an accredited chiropractic college
- A valid state chiropractic license
- Malpractice insurance (often provided by the clinic)
Career Trajectory:
- Can lead to clinic director, lead doctor, or partner roles
- May eventually open their own practice
- Often eligible for bonus structures, mentorship, and continuing education support
Side-by-Side Comparison
FeatureChiropractic Assistant (CA)Chiropractic Associate (DC)License RequiredNoYes (Doctor of Chiropractic + state license)Primary RoleAdministrative + therapy supportDirect patient care and treatmentTypical Pay$15–$25/hour$60,000–$100,000+ per year (varies by region)Hands-on AdjustmentsNoYesCareer PathSupport staff or clinical adminLead doctor, clinic owner, or partnerEducation NeededHigh school diploma + CA certification (varies by state)Chiropractic doctorate (DC)
Choosing the Right Path
Start as a Chiropractic Assistant if:
- You're considering a career in chiropractic but aren’t ready to commit to years of school
- You want hands-on experience in a clinic
- You enjoy working with patients in a support role
Apply for Chiropractic Associate roles if:
- You’re already licensed or soon to graduate from a chiropractic program
- You’re ready to take on patient care responsibilities
- You're looking for long-term growth as a clinician
<Callout type="info" title="Looking for Jobs?"> Whether you're a new DC or exploring support roles, find the latest job opportunities at [ChiroJobs](https://www.chirojobs.com). </Callout>
Final Thoughts
The chiropractic field has more than one entry point. Whether you’re adjusting patients or assisting behind the scenes, both chiropractic assistants and associates play vital roles in delivering excellent care.
Understanding the distinction helps students, career changers, and employers make smarter decisions about hiring, training, and career development.
Thinking about taking the next step? Explore current job listings or talk to a mentor to figure out which role aligns with your goals.