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Chiropractic Licensing

New York Chiropractic Licensing for Out-of-State DCs: The Three Ways In

New York's Office of the Professions gives a chiropractor licensed elsewhere three routes: licensure by examination with NBCE Parts I–IV, endorsement with Parts I and II plus a state clinical exam and two years of recent practice, or SPEC plus seven of the last ten years in practice. The fee is $294, and every route needs child abuse reporting training.

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5 min read · by White Glove Chiropractic
A chiropractor filling out paper forms at a small table in a narrow New York treatment room with a brick wall and an adjusting table.

New York licenses chiropractors from other states by examination if they passed NBCE Parts I–IV, by endorsement with Parts I and II, a state clinical exam and two of the last five years in practice, or with SPEC and seven of the last ten years. The fee is $294, and child abuse reporting training is required.

New York does not have a single reciprocity rule for chiropractors. The New York State Education Department's Office of the Professions (OP) sorts applicants already licensed in another state into one of three tracks, and which one you use depends almost entirely on which NBCE parts you passed and how long you have practiced. If you passed NBCE Parts I, II, III and IV, you can be licensed "by examination" and skip the experience requirement. If you passed Parts I and II and a state-administered clinical exam, you can be licensed by endorsement with two years of practice in the past five. If you never took a practical exam, the SPEC route asks for seven of the last ten years. The licensure fee is $294.

What does every applicant need?

OP's chiropractic requirements page lists the baseline. You must be of good moral character, at least 21, and meet the education, examination and, for endorsement, experience requirements in Article 132 of the Education Law (section 6554) and Part 73 of the Commissioner's Regulations. Education means:

  • Preprofessional study: 90 semester hours of college study with a GPA of at least 2.75, including at least 24 semester hours in life and physical sciences, at least half of them with a lab component.
  • Professional education: a Doctor of Chiropractic program accredited by the Council on Chiropractic Education at the time you graduated. If you transferred between programs, your final year has to have been at a fully accredited program.
  • Child abuse identification and reporting: coursework or training under Education Law § 6507(3)(a), from an approved provider. Out-of-state applicants miss this one more than any other item.

Route one: licensed by examination with Parts I–IV

New York's examination requirement for licensure is NBCE Parts I, II, III and IV. OP notes that the NBCE Physiotherapy exam is not required for New York. If you already passed all four parts, OP says you may be licensed "by examination" rather than by endorsement, which removes the need to document two years of practice. You still file Form 3, verification of licensure from the other states where you are licensed, because OP uses it to review disciplinary history for the moral character requirement.

This is the cleanest route for anyone who graduated after Part IV became standard. The score transcript has to come from the NBCE directly to OP and show every subject on all four parts as passed. See sending NBCE scores to a new board for how that request works.

Route two: endorsement with Parts I and II plus a state clinical exam

For chiropractors licensed before Parts III and IV were common, OP accepts Parts I and II plus a state-administered clinical competency examination in place of Parts III and IV. The state exam must have tested hands-on skills and knowledge in X-ray, neurological and orthopedic testing, physical diagnosis and chiropractic technique, and the licensing authority that gave it attests to that on Form 3.

This route also needs experience: two licensed colleagues attest on Form 4 to two years of practice during the past five years. The two-in-five window runs back from your application, so someone who stopped practicing three years ago may already be outside it.

Route three: SPEC plus seven of the last ten years

If you never completed a practical, hands-on clinical exam, OP lets you meet the exam requirement by passing the NBCE Special Purposes Examination for Chiropractic (SPEC) and submitting verification, again from two licensed colleagues on Form 4, of seven of the immediate past ten years of acceptable practice. That is the longest experience requirement among the three, and it is the route for long-practicing chiropractors whose original licensure predates a practical exam. Our SPEC guide covers the exam itself, and SPEC Exam Pathway Support ($299 one-time) handles registration and the score release.

How do I tell which route I am on?

  • Passed Parts I, II, III and IV: licensure by examination. No experience forms.
  • Passed Parts I and II and a state practical exam with the right subjects: endorsement, two of the last five years.
  • Passed Parts I and II but no practical exam: SPEC, seven of the last ten years.
  • Missing Part I or II: New York's endorsement routes all require Parts I and II, so talk to us about which parts you can still take.

The middle case is where most files stall. Whether a state's old practical exam covered all four required areas is something the other state's board attests to, not something you can assert. Ask that board early whether it can complete Form 3 with the exam content, because some boards no longer have the records.

What does it cost and how do I pay?

OP lists a licensure fee of $294. Online applications are paid by credit card; paper fees go by personal check or money order to the New York State Education Department. Fees are set in law and the one due is the one in effect when OP receives your application. If you withdraw, you may be entitled to a partial refund, but reapplying later means meeting the requirements in place at that time. NBCE transcript fees and the SPEC exam fee are separate.

What does New York not ask for?

Two things chiropractors coming from other states sometimes prepare for and do not need here. OP's requirements page lists no separate state jurisprudence exam for chiropractic, and it says the NBCE Physiotherapy exam is not required. Check the forms when you file, since requirements can change, but plan around Form 3, Form 4 where it applies, the NBCE transcript, the education documentation and the child abuse training.

Where does White Glove come in?

We work out which of the three routes fits your score history, request the Form 3 verifications from each state where you are licensed, line up the Form 4 attestations, schedule the NBCE transcript and confirm the child abuse training. Licensure by endorsement in New York is our License by Endorsement service ($499); if you need SPEC first, add SPEC Exam Pathway Support. The $294 state fee and NBCE fees are separate, and the decision belongs to the State Education Department. More on our New York page, and the national picture is on the portability hub.

Common questions

Does New York require NBCE Part IV for chiropractors?
For licensure by examination, yes: Parts I, II, III and IV. An applicant licensed in another state can instead use Parts I and II plus a qualifying state clinical exam and two years of recent practice, or SPEC plus seven of the last ten years, according to the Office of the Professions.
Do I need the NBCE Physiotherapy exam for New York?
No. The Office of the Professions states that the NBCE Physiotherapy exam is not required for New York State licensure.
What is Form 4 in a New York chiropractic application?
It is the experience verification. Two licensed colleagues attest to your practice: two years in the past five for the endorsement route, or seven of the past ten years for the SPEC route.
How much is the New York chiropractic license fee?
The Office of the Professions lists a licensure fee of $294. NBCE transcript and exam fees are paid separately.

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