Board of Chiropractic Examiners

Application/Forms

Initial License Applications

  • Chiropractic License Application, #08-0672, Revised 10/1/16. Application and instructions for licensure by examination or for licensure by credentials.
  • Courtesy License Application, #08-4500, Revised 9/23/16. Application and instructions for out-of-state chiropractic physicians working at a special athletic, cultural, or performing arts event in the State of Alaska.
  • Chiropractic Application for Locum Tenens Permit, #08-4319, Revised 9/23/16. Application and instructions for out-of-state chiropractic physicians substituting in an Alaska-licensed chiropractic practice.


Renewal and Reinstatement Applications

Please do not submit your certificates with your renewal application. Only submit documentation of your continuing education activity if you are notified that you have randomly been selected for an audit.

NOTE: Licenses lapsed or in retired status for more than five years may not be reinstated. See the initial license application.


Miscellaneous Forms