Chapter 4734-5 | Chiropractic Program Standards and Requirements

Rule 4734-5-01 | Board approved doctor of chiropractic degree programs.

• Effective: December 25, 2025
• Promulgated Under: 119.03

(A) The objective of doctor of chiropractic degree programs approved by the state chiropractic board is to prepare the graduate doctor of chiropractic as a primary health care provider, as a portal of entry into the health delivery system, trained to examine, diagnose, and assume responsibility for the care of patients of all ages and genders and to care for the human body in both health and disease. The graduate doctor of chiropractic shall be qualified to consult with, refer to, and/or receive referrals from, other health care providers.

(B) The curriculum of doctor of chiropractic degree programs shall include, but not be limited to, the following subject matter: Foundations: principles, practices, philosophy and history of chiropractic. Basic sciences: anatomy; physiology; biochemistry; microbiology and pathology. Clinical sciences: physical, clinical and laboratory diagnosis; diagnostic imaging; spinal analysis; orthopedics; biomechanics; neurology; spinal adjustment/manipulation; extremities manipulation; rehabilitation and therapeutic modalities/procedures (active and passive care); toxicology/pharmacology; patient management; nutrition; organ systems; special populations; first aid and emergency procedures; wellness and public health; and clinical decision-making. Professional practice: ethics and integrity; jurisprudence; business and practice management and professional communications.

(C) The board adopts the "CCE Accreditation Standards; Principles, Processes & Requirements for Accreditation, January 2025" (hereinafter "Standards") issued by the council on chiropractic education (hereinafter "CCE" or "council").

(D) In considering whether to approve a doctor of chiropractic degree program, or to continue approval of a doctor of chiropractic degree program, the board shall utilize the "Standards" of the council in making its decision.

(E) Doctor of chiropractic degree programs with board approval prior to the effective date of this rule continue to have approval until approval is removed in accordance with this chapter. Board approval of programs and institutions runs concurrently with council accreditation.

Last updated December 29, 2025 at 7:46 AM

Supplemental Information

Authorized By: 4734.10
Amplifies: 4734.21
Five Year Review Date: 12/25/2030
Prior Effective Dates: 7/28/2014

Rule 4734-5-02 | Board relationship with the council on chiropractic education.

• Effective: December 25, 2025
• Promulgated Under: 119.03

(A) The board may accept the council on chiropractic education's (hereinafter "CCE") designation of "accredited doctor of chiropractic program" and grant board approval of those programs for graduates to be eligible for Ohio licensure.

(B) The board may revoke approval from an accredited doctor of chiropractic program if the "CCE" removes accredidation for the program. Any such revocation must comply with the hearing requirements of Chapter 119. of the Revised Code.

Last updated December 29, 2025 at 7:46 AM

Supplemental Information

Authorized By: 4734.10
Amplifies: 4734.21
Five Year Review Date: 12/25/2030

Rule 4734-5-03 | Site visit, review, or inquiry.

• Effective: December 25, 2025
• Promulgated Under: 119.03

(A) The council on chiropractic education (hereinafter "CCE") is recognized as the national accrediting body for doctor of chiropractic degree programs leading to the doctor of chiropractic degree. The actions of the "CCE" in regard to program accreditation and continued approval of programs guide the board in its determinations in regard to its approval and continued approval of any doctor of chiropractic degree program (hereinafter "program").

(B) The authority under section 4734.21 of the Revised Code authorizes the board to make on-site inspections, reviews and inquiries as it considers necessary when determining if a program should receive the board's approval or continue to be approved.

(C) The board may appoint a team to make an on-site visit, review, or inquiry of a program to determine if the program should receive the board's approval or continue to be approved.

(D) Once the board determines an on-site visit, review, or inquiry is necessary, a team will be appointed by the board and may consist of not more than three members, to include a chairperson appointed by the board. The team must consist of individuals with particular backgrounds and expertise to provide an on-site visit, review, or inquiry of a program.

(E) The cost of any site visit, review or inquiry must be paid by the program directly to the team members. Such expenses may include, but not be limited to, meals, lodging, travel and per diem expenses, and the time required for preparing a report and presenting the report to the board. Receipts of expenses incurred by the team must be submitted to the board for documentation and approval prior to submission to the program for reimbursement.

(F) Within forty-five days of completion of an on-site visit, review or inquiry, the team chairperson must provide a written report to the board. Within ten days of the board's receipt, a copy of the report must be provided to the chief administrative officer of the program. For applications for initial program approval, the report must include, but not be limited to, a detailed analysis of the program's eligibility factors contained in its application for approval and self-study documentation. For reports addressing continued approval of a program, the report must include, but not be limited to, a detailed analysis of the program's compliance with the "CCE's" current accreditation standards, principles, processes and requirements for accreditation.

(G) The board must review a team report and notify the program of its decision within one hundred twenty days of the filing of the report. This time period may be extended for good cause at the board's discretion.

Last updated December 29, 2025 at 7:46 AM

Supplemental Information

Authorized By: 4734.10
Amplifies: 4734.21
Five Year Review Date: 12/25/2030
Prior Effective Dates: 4/9/2004, 5/25/2014

Rule 4734-5-04 | Initial approval of doctor of chiropractic degree programs.

• Effective: December 25, 2025
• Promulgated Under: 119.03

(A) For a doctor of chiropractic degree program to seek initial approval by the board for its graduates to apply for licensure, it must first apply to the board. The chief administrative officer of the program must send a letter of intent to the board and must include a copy of all self-study documentation required by the council on chiropractic education (hereinafter "CCE" or "Council") in its "CCE Accreditation Standards; Principles, Processes & Requirements for Accreditation, January 2025" (hereinafter "Standards"). This rule does not require a program to also apply to the "CCE" for accreditation, but if the program has done so, it should provide the same information to the board as it provided to the "CCE".

(B) The board may review the application and materials or appoint a committee to do so. If the program has applied to the "CCE" for accreditation, the board may hold the application as pending, until the "CCE" has fully reviewed and ruled on the application. If the applicant has not applied to the "CCE", the board or committee will then review the application and materials and follow the procedures outlined in the Standards. The board may then order a site visit, review or inquiry of the program, pursuant to section 4734.21 of the Revised Code and rule 4734-5-03 of the Administrative Code.

(C) Once the board has considered the information submitted by the program and/or report of any site visit, review or inquiry, it may approve or propose to deny the program. When it is the intention of the board to deny approval of a program that has requested board-approval, the program is entitled to a hearing on the question of such proposed denial.

Last updated December 29, 2025 at 7:46 AM

Supplemental Information

Authorized By: 4734.10
Amplifies: 4734.21
Five Year Review Date: 12/25/2030
Prior Effective Dates: 4/9/2004

Rule 4734-5-06 | Revocation of approval of a doctor of chiropractic degree program.

• Effective: December 25, 2025
• Promulgated Under: 119.03

(A) The board may investigate allegations that a board-approved doctor of chiropractic degree program is not complying with the following:

(1) The "CCE Accreditation Standards; Principles, Processes & Requirements for Accreditation, January 2025" (hereinafter "Standards") promulgated by the council on chiropractic education (hereinafter "CCE" or "Council")

(2) If a "CCE" accredited program, maintaining that accreditation;

(3) If not a "CCE" accredited program, complying with the "Standards" as interpreted by the board;

(4) Chapter 4734. of the Revised Code and/or agency 4734 of the Administrative Code;

(5) All statutes and rules governing the operation of such a program in its state of domicile;

(B) During an investigation of a program pursuant to this rule, the program shall provide information and documentation requested by the board to complete its investigation. The board may order a site visit, review, or inquiry pursuant to section 4734.21 of the Revised Code and rule 4734-5-03 of the Administrative Code.

(C) The board may revoke approval of the program. Any such revocation must comply with the hearing requirements of Chapter 119. of the Revised Code.

Last updated December 29, 2025 at 7:46 AM

Supplemental Information

Authorized By: 4734.10
Amplifies: 4734.21
Five Year Review Date: 12/25/2030