Whether you're planning to relocate, offer locum tenens coverage, or expand a mobile practice, holding chiropractic licenses in multiple states can open doors but it requires careful planning.
In this guide, we’ll break down what it takes to become a multi-state chiropractor, the common pitfalls, and how to stay compliant while maximizing flexibility.
Why Get Licensed in Multiple States?
Practicing across state lines offers a number of career benefits:
- Increased job opportunities
- Freedom to relocate or work seasonally
- Ability to offer telehealth or concierge services across regions
- Locum tenens or coverage work in high-demand areas
But with opportunity comes complexity.
Step-by-Step: How to Get Licensed in a New State
Each U.S. state has its own chiropractic board and licensing requirements. Here’s how to navigate the process:
1. Research the State Requirements
Visit the state board’s official website to review:
- Required exams (some require Part IV or state jurisprudence exams)
- Continuing education requirements
- Background checks and fingerprinting
- Fees and documentation needed
Pro Tip: Use the FCLB's Licensing Requirements Tool to compare states.
2. Submit Application and Fees
Typical documents include:
- NBCE score reports
- Chiropractic degree transcripts
- Current license verification(s)
- Passport photos and ID
Expect to pay $200–$800 per state, depending on requirements.
3. Take Additional Exams if Needed
Many states require:
- State jurisprudence exam (tests knowledge of state-specific laws)
- Part IV of NBCE, if not already taken
Schedule these early to avoid delays.
4. Maintain All Licenses
Once approved, remember:
- Renewal dates and CE requirements vary by state
- Some states require in-person CE; others allow online
- Failure to renew or complete CE can result in suspension or fines
Create a spreadsheet or use a licensing management tool to stay organized.
Tips for Staying Organized
Managing multiple licenses doesn’t have to be stressful. Here's how to keep it smooth:
- Create a master renewal calendar
- Use cloud storage for license copies and CE certificates
- Join each state’s chiropractic association for updates and advocacy
- Set email alerts for renewal and CE deadlines
- Batch CE credits to satisfy multiple states when possible
Common Pitfalls to Avoid
- Assuming reciprocity: Few states have full reciprocity; check each state individually
- Missing CE deadlines: This can trigger expensive reinstatement fees
- Practicing before being fully licensed: Never treat patients until you have written confirmation
Is It Worth It?
Multi-state licensing is ideal for:
- Chiropractors living near state borders
- Mobile and concierge chiropractors
- DCs seeking seasonal or locum tenens work
- Those expanding their brand or practice regionally
If you value flexibility and wider job access, the upfront work can lead to long-term gains.
Final Thoughts
Multi-state licensing is not just for seasoned DCs—it’s a smart move for any chiropractor who wants to expand their career horizons, increase income opportunities, and stay mobile.
Start by researching your next target state, get organized, and stay compliant. Your future self and your practice will thank you.
Want jobs by license area? Use filters on ChiroJobs.com to find positions by state.