2017 Wisconsin Act 278, beginning August 1, 2018, prior to submitting an application for a credential, an individual may apply to the Department for a determination of whether the individual would be disqualified from obtaining the credential due to his or her conviction record. To apply for a predetermination, please fill out
Form #3085 and submit all required documentation specified on the form. Pursuant to
Wis. Stat. §
111.335(4)(e), the offenses or kinds of offenses that may result in a refusal, bar, or termination of licensure are published under Additional Resources on the left side of this page.
Pursuant to 2017 Wisconsin Act 319, beginning August 1, 2018, an applicant for an initial credential may apply for a reduction of the initial credential fee that is equal to 10% of the initial fee. Qualification is based on the federal adjusted gross income being at or below 180% of the federal poverty guideline prescribed for the applicant's family household size by the United States Department of Health and Human Services. To determine eligibility please visit the United States Department of Health and Human Services website at https://aspe.hhs.gov/poverty-guidelines, prior to submitting Form 3217.
Wis. Stat. § 440.08 (2), the required renewal date for the Chiropractic credential is 12/14/even years. Should you receive your initial credential in the months leading up to this date, you are still required to renew your license by the statutorily defined date.
The Board may grant a temporary permit to practice chiropractic to any chiropractor, who files an application prescribed by the Board, pays the required fee, has a chiropractic license in good standing in another jurisdiction, and has no disciplinary action pending in connection with any chiropractic license the applicant holds.
- A chiropractor practicing under a temporary permit is only allowed to practice as a chiropractor for participants in an athletic or artistic event, or as an instructor in a specific chiropractor education seminar approved for continuing education by the Board.
- A temporary permit is valid for 10 calendar days during the 12-month period immediately following its effective date, but no single period of practice under the temporary permit may exceed three (3) calendar days.
Pre-Credential Education Information
Must have completed 60 credits of undergraduate work, and have graduated from an accredited chiropractic college. Beginning July 1, 1998, a candidate must have attained a bachelor's degree in addition to the degree of doctor of chiropractic.
Applicants must complete a CPR/AED certification program approved by the Wisconsin Department of Health Services (DHS). Approved providers can be found on the
DHS License Certification page.
Application for Licensure
502||Application For Licensure to Practice Chiropractic|
|3217||Application for Fee Reduction (If applying for a fee reduction, this form must accompany Form #502.)|
||Application For Temporary Chiropractic License|
||Malpractice Suits or Claims Form (If applicable)|
3085||Application for Predetermination (Submit ONLY if you have been convicted of any felony, misdemeanor, or other violations of federal, state, or local law, including municipal ordinances, in this state or any other)|
||Convictions and Pending Charges|
||Fax Payment Form|
|3218||Employer Verification (For Endorsement Applicants Only)|
Application for Nutritional Counseling Certification
||Application for Nutritional Counseling Certification|
||Nutritional Counseling Certificate of Post-graduate Education Form
Application for Preceptorship
||Chiropractic College Preceptorship Program Approval Instructions and Request Form|