Verified October 8, 2026 against the practice act, board rules and sources cited below. The board decides every application. All states
What chiropractors miss in Hawaii
- Physiotherapy modalities need board approval, and new applicants must pass the NBCE Physiotherapy exam.
- Practicing before the license issues can itself be grounds to deny the application.
Can a chiropractor licensed in another state get a Hawaii license by endorsement?
Hawaii has no reciprocity agreements, but the statute gives licensed DCs an alternative exam set: NBCE Parts I, II, III, Physiotherapy and SPEC with a license in good standing elsewhere (Parts I, II, Physiotherapy and SPEC if licensed before 1989). SPEC replaces Part IV.
- Endorsement route available
Citation: Haw. Rev. Stat. § 442-6(a)(2)–(3)
Which exams does Hawaii require?
New graduates need NBCE Parts I, II, III, IV and Physiotherapy. The board reports no state exam. The board may also require SPEC for endorsement, discipline or a lapsed license.
- NBCE Parts I–IV
- NBCE Physiotherapy exam
- No state jurisprudence exam
- SPEC for some applicants
What else does the Hawaii board check?
- No fingerprint requirement
Does Hawaii regulate chiropractic assistants?
The board reports to FCLB that it does not regulate chiropractic assistants.
- Not regulated
How often does a Hawaii chiropractic license renew?
Renew by December 31 of odd-numbered years with 20 board-approved CE hours from the prior 24 months. A license issued in an odd year skips CE for its first renewal; one issued in an even year needs ten hours. The board reports that practice-building and acupuncture courses do not count.
- Renews every 2 years
- 20 CE hours per cycle
Licensing in Hawaii?
We file the application, send your NBCE scores and verifications, and carry the board correspondence. License by endorsement is $499. Not sure which route fits? The readiness review answers that for every state you want.