Landing a chiropractic job is exciting but before you sign the dotted line, it’s essential to understand exactly what you’re agreeing to.
Employment contracts vary widely in the chiropractic world. Some are one-page agreements, others are ten pages long. Regardless of length, each clause carries legal and professional consequences.
This guide breaks down the key parts of a chiropractic employment contract, what to look for, and what questions to ask before committing.
1. Compensation Structure
How you're paid affects everything from cash flow to taxes to job satisfaction.
Key questions to ask:
- Is it salary, commission, hourly, or a hybrid model?
- What is the commission percentage or per-patient rate?
- Are there bonuses, and how are they calculated?
- Is pay guaranteed, or does it depend on patient volume?
- How often are you paid (weekly, bi-weekly, monthly)?
<Callout type="info" title="Example"> A job offer might say "$70,000 base + 20% collections over $15k/month." This means you earn bonuses once your collections exceed $15,000 monthly. </Callout>
Also review whether you'll be classified as a W-2 employee or 1099 independent contractor, as this affects taxes and benefits.
2. Hours and Patient Expectations
Don’t assume your workday ends at 5 PM or includes a lunch break. Confirm the details.
Look for:
- Start and end times (including weekends or evenings)
- Lunch or break expectations
- Number of adjusting hours vs. admin time
- Average number of patients per day
- Whether you’re expected to market, attend events, or create content
Some clinics expect associates to build their own patient base, while others provide fully booked schedules. Make sure the expectations are realistic for your experience level.
3. Non-Compete Clauses
Non-compete agreements can limit where you can work after leaving the job sometimes for months or even years.
Pay attention to:
- Geographic scope — How far does it extend (e.g., 5 miles, 20 miles)?
- Time frame — Does it last 6 months or 2 years?
- Service restrictions — Are you banned from offering any chiropractic care or just certain services?
- Does it apply even if you’re terminated?
<Callout type="warn" title="Warning"> A restrictive non-compete in a small town could prevent you from working nearby at all, forcing relocation. Always clarify the terms. </Callout>
4. Continuing Education (CE) and Growth Support
Continuing education (CE) is required in most states and can be expensive.
Find out:
- Does the clinic cover CEU course fees, travel, or lodging?
- Are there limits on how much they’ll reimburse?
- Will they pay for certifications like Webster, ART, or Dry Needling?
- Are you expected to attend specific seminars on your own dime?
Even if CE isn’t covered, some clinics will offer paid time off to attend conferences.
5. Termination Clauses
Every contract should outline how the agreement can end by either you or your employer.
Key terms to review:
- Notice period — How many days/weeks must you give if you resign?
- Can the clinic terminate without cause, and under what conditions?
- What happens to your bonuses or last paycheck upon termination?
- Are there penalties for leaving before a certain date (e.g., repayment of bonuses or training costs)?
Don’t overlook this section, it affects your financial security and transition plan if things don’t work out.
Bonus Clauses to Watch For
Some contracts also include:
- Malpractice insurance (who pays for it?)
- Vacation time or PTO
- Benefits (health insurance, retirement plans)
- Relocation reimbursements
- Ownership or buy-in opportunities
Each of these adds context to your total compensation and career path. Be sure to evaluate the full package — not just the salary.
Final Thoughts
Signing a chiropractic employment contract is a big step and you don’t need to rush it. Take the time to:
- Read every section carefully
- Ask for clarification or changes if something feels unclear
- Consider having a contract lawyer or mentor review the offer
Remember, a contract isn’t just a formality it’s the foundation of your professional relationship with your future employer.
When you understand the terms clearly, you protect yourself, set the right expectations, and start your career with confidence.