Chapter 4734-7 | License Renewal and Restoration

Rule 4734-7-01 | Renewal requirements.

• Effective: May 1, 2022
• Promulgated Under: 119.03

(A) General renewal requirements.

(1) All continuing education (CE) earned for renewal shall meet the requirements outlined in rule 4734-7-02 of the Administrative Code.

(2) Individuals licensed during the current CE reporting period are exempt from earning CE credit during the earning period of their initial licensure.

(3) At least sixty days prior to the expiration of a license, the board shall notify every individual issued a license or reinstated during the current biennial period. Failure to receive the board's notification of renewal does not exonerate the licensee from the board's renewal requirements.

(4) Renewal shall be made in the manner prescribed by the board. Each licensee shall complete a renewal application(s) and supply all information necessary to process the renewal.

(5) The board may select applications for audit to verify that all CE requirements have been met. Licensees whose applications are selected for audit shall submit documentation of compliance with the required CE hours within thirty days from the date of the board's notification.

(B) Chiropractic license renewal.

(1) Each licensee who receives a license shall thereafter apply for renewal of the license on a biennial basis and pay a non-refundable five hundred dollar renewal fee on or before the renewal deadline of March thirty-first of each even numbered year.

(2) Except for those licensees simultaneously renewing an acupuncture certificate in accordance with paragraph (C) of this rule, each licensee renewing a chiropractic license shall attest on the application for renewal to having earned the following CE hours:

(a) Thirty-four hours of chiropractic CE as defined in paragraph (B)(3) of rule 4734-7-02 of the Administrative Code;

(b) Two hours of board mandated CE as defined in paragraph (B)(5) of rule 4734-7-02 of the Administrative Code.

(3) Any current licensee may place their chiropractic license on inactive status on or before the license renewal deadline if the license is in good standing and the licensee is not under disciplinary review pursuant to section 4734.31 of the Revised Code. The effective date of the inactive status shall be the date reflected in the board's official record. The license may be restored in accordance with the provisions of section 4734.26 of the Revised Code and rule 4734-7-04 of the Administrative Code.

(4) Failure to renew a chiropractic license on or before March thirty-first of each even numbered year results in forfeiture of the licensee's right to practice chiropractic as outlined in section 4734.25 of the Revised Code. The license may be reinstated in accordance with the provisions outlined in section 4734.25 of the Revised Code and rule 4734-7-05 of the Administrative Code.

(C) Acupuncture certificate renewal.

(1) Each licensee who receives a certificate to practice acupuncture shall thereafter apply for renewal of the certificate on a biennial basis and pay a non-refundable one hundred dollar renewal fee on or before the renewal deadline of March thirty-first of each even numbered year.

(2) No acupuncture certificate shall be renewed unless the individual's chiropractic license is likewise renewed.

(3) Each licensee shall attest on the application for renewal to having earned the following CE hours:

(a) Twenty-two hours of chiropractic CE as defined in paragraph (B)(3) of rule 4734-7-02 of the Administrative Code;

(b) Twelve hours of acupuncture CE as defined in paragraph (B)(4) of rule 4734-7-02 of the Administrative Code;

(c) Two hours of board mandated CE as defined in paragraph (B)(5) of rule 4734-7-02 of the Administrative Code.

(4) Any current licensee may place their acupuncture certificate on inactive status if the certificate is in good standing and not under disciplinary review. The effective date of the inactive status shall be the date reflected in the board's official record. The certificate may be restored in accordance with the provisions of section 4734.286 of the Revised Code and rule 4734-10-06 of the Administrative Code.

(5) Failure to renew an acupuncture certificate results in the certificate being placed on inactive status. The certificate may be restored in accordance with the provisions of section 4734.286 of the Revised Code and rule 4734-10-06 of the Administrative Code.

(D) Licensee responsibilities.

(1) Each licensee shall ensure that CE programs earned for renewal meets the requirements outlined in rule 4734-7-02 of the Administrative Code;

(2) Each licensee shall earn CE in the two year period beginning April first of each even numbered year;

(3) Licensees shall not claim CE credit for a program more than once per renewal biennium;

(4) Licensees shall not carry forward or retroactively apply CE to any other CE earning period;

(5) Licensees shall earn interactive online CE programs one at a time and shall not open or complete multiple programs simultaneously;

(6) Each licensee shall maintain verification of earned CE for no less than three full years from completion of the CE activity;

(7) Destroying, altering, or otherwise making unavailable documentation of CE is prohibited. Failure to maintain CE records rebuts the presumption that the required CE hours were met.

(E) CE exceptions.

(1) Proctors of the national board of chiropractic examiners part four practical examination may claim the hours, as applicable, toward their chiropractic CE requirement. The licensee is not exempt from earning two hours of board mandated CE.

(2) Instructors of programs offered for CE credit that meet the requirements of rule 4734-7-02 of the Administrative Code may claim the hours, as applicable, toward their chiropractic CE, acupuncture CE and/or board mandated CE requirement. CE credit shall not be claimed for teaching the same program more than once.

(3) Licensees who earn college credit in three hundred level courses or above in a health care related topic through a college or university accredited by an accrediting agency recognized by the United States department of education may claim the hours, as applicable, toward their chiropractic or acupuncture CE requirement. The licensee is not exempt from earning two hours of board mandated CE.

(4) Licensees who teach three hundred level courses or above in a health care related topic at a college or university accredited by an accrediting agency recognized by the United States department of education may claim the hours, as applicable, toward their chiropractic or acupuncture CE requirement. The licensee is not exempt from earning two hours of board mandated CE.

(5) Licensees who author research papers published in recognized chiropractic or medical journals may claim, as applicable, chiropractic CE and/or acupuncture CE toward their renewal requirement. The licensee is not exempt from earning two hours of board mandated CE.

(6) A waiver, extension, reduction, or modification of CE hours may be granted to a licensee due to illness, disability, or other good cause shown. A request for a waiver, extension, reduction, or modification of CE hours shall be made to the board in writing no less than thirty days prior to the expiration of the license.

Last updated May 2, 2022 at 8:43 AM

Supplemental Information

Authorized By: 4734.10
Amplifies: 4734.25
Five Year Review Date: 5/1/2027
Prior Effective Dates: 4/1/2016

Rule 4734-7-02 | Standards and requirements for continuing education.

• Effective: May 1, 2022
• Promulgated Under: 119.03

(A) It is the responsibility of each licensee to ensure that programs earned for continuing education (CE) credit meet the requirements of this rule.

(B) Definitions

(1) CE, other than online CE, is defined as programs at which attendees interact with the instructor and the instructor can speak directly with the participants. A program may be conducted via teleconference so long as the instructor can speak directly with and interact with attendees.

(2) Online CE is defined as interactive online learning over the internet.

(3) Chiropractic CE is defined as programs comprised of one or more of the following subjects: acupuncture; animal chiropractic; chiropractic philosophy and history; clinical diagnosis and examination procedures; diagnostic imaging; clinical documentation; electrodiagnostics; emergency procedures; laboratory procedures; manipulation and adjusting procedures; neurology; nutrition; orthopedics; physiological therapeutics; principles and practice of chiropractic; professional boundaries; public health, hygiene, sanitation; rehabilitative procedures/exercise; risk management and other subjects related to the practice of chiropractic as deemed appropriate by the board.

(4) Acupuncture CE is defined as programs comprised of topics to enhance acupuncture education and competency.

(5) Board mandated CE is defined as programs on the topics of: boundaries and/or trauma informed care; human trafficking awareness; and/or laws and rules of the board.

(6) CE hour is defined as a minimum of fifty minutes of CE activity and shall not include time for meals or breaks.

(C) General requirements for all CE programs

(1) The program shall have significant intellectual or practical content and the primary objective of the program shall be to improve the licensee's professional competence;

(2) Programs shall consist of topics of clinical benefit to consumers;

(3) Instructors shall be qualified by education or experience to provide instruction in the relevant subject matter;

(4) The program shall be presented in a setting suited to the educational activity of the program;

(5) The program shall be based upon scientific evidence generally accepted by the profession.

(D) Requirements for online CE

(1) The program shall have a sufficent method to ensure the participant has earned all of the time required to complete the program;

(2) The program shall have a mechanism in place for the participant to contact the provider;

(3) The program shall include a mechanism to assess the participant's knowledge of the subject matter;

(4) The program shall provide verification of attendance or allow the user to print a verification upon completion of the program;

(5) Programs shall be earned one at a time. The program shall not grant CE credit for multiple programs completed simultaneously.

(E) Prohibited CE

(1) Topics related to: billing and coding in relation to upcoding or enhanced billing and/or coding techniques; malpractice defense; practice management; programs wherein promotion of a product or service is the principle purpose of the program; strategies to increase reimbursement; motivational programs; legal courses; professional organizational business meetings; speeches; and practice building;

(2) Authoring articles;

(3) Programs conducted via CD; DVD; audio programs; reading books, articles, or journals; home study courses; correspondence courses; and other mechanisms of self-instruction not defined in this rule.

(F) Licensees who take the board's online laws and rules CE program and pass an assessment shall be granted one hour of board mandated CE credit.

(G) Instructors for CE programs conducted in Ohio shall not be required to apply for a temporary license when demonstrating techniques or procedures on a program participant, provided that the instructor:

(1) Possesses a current, valid and unrestricted chiropractic license in another state or country;

(2) Possesses valid liability coverage at the time of demonstration;

(3) Fully explains the technique or procedure to the participant;

(4) Discloses any potential risks, and;

(5) Obtains written informed consent from the program participant prior to the demonstration.

Last updated May 2, 2022 at 8:43 AM

Supplemental Information

Authorized By: 4734.10
Amplifies: 4734.25, 4734.284
Five Year Review Date: 5/1/2027
Prior Effective Dates: 8/1/2007, 10/18/2010

Rule 4734-7-03 | Continuing education credit for providing health care to indigent and uninsured persons as a volunteer.

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

(A) So long as all of the following apply, a licensee may satisfy up to twelve hours of required continuing education by providing health care services as a volunteer:

(1) The licensee provides health care services to an indigent and uninsured person, as defined in section 2305.234 of the Revised Code;

(2) The licensee provides the health care services as a volunteer;

(3) The licensee satisfies the requirements of section 2305.234 of the Revised Code to qualify for the immunity from liability granted under that section;

(4) The health care services provided are within the scope of chiropractic practice in this state.

(B) Documentation of CE credit for providing health care to indigent and uninsured persons as a volunteer shall be in writing from an administrative official at the organization where services were rendered, specifying at a minimum, the date(s) the activity occurred, the time devoted toward the activity, and an attestment that the individuals for which services were provided meet the requirements of paragraph (A)(1) of this rule. One credit hour is defined as sixty minutes spent providing health care services as a volunteer.

(C) Services provided as a volunteer are not eligible for board mandated CE credit.

Last updated December 29, 2025 at 7:47 AM

Supplemental Information

Authorized By: 4734.10
Amplifies: 2305.234
Five Year Review Date: 12/25/2030
Prior Effective Dates: 10/1/2017

Rule 4734-7-04 | Restoration of inactive chiropractic license.

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

(A) Requirements for applications filed before the first day of the second year of the CE period:

(1) A completed application for restoration;

(2) Non-refundable five hundred dollar restoration fee;

(3) Evidence of earning thirty-six hours of CE in accordance with rule 4734-7-01 of the Administrative Code within the twenty-four months immediately preceding the date of application;

(4) Fingerprint criminal background check results completed no earlier than one hundred eighty days preceding the date of application for restoration.

(B) Requirements for applications filed on or after the first day of the second year of the CE period:

(1) A completed application for restoration;

(2) Non-refundable two hundred fifty dollar restoration fee;

(3) Evidence of earning eighteen hours of CE, of which must include two hours of board mandated CE, in accordance with rule 4734-7-01 of the Administrative Code within the twenty-four months immediately preceding the date of application;

(4) Fingerprint criminal background check results completed no earlier than one hundred eighty days preceding the date of application for restoration.

(C) If an individual's license has been inactive for two years or more, the board may require as a condition for restoration that the applicant complete training or testing which may include passing the "Special Purposes Examination for Chiropractic" offered by the national board of chiropractic examiners.

(D) Any refusal or denial of an application must comply with the hearing requirements of Chapter 119. of the Revised Code.

Last updated December 29, 2025 at 7:47 AM

Supplemental Information

Authorized By: 4734.10
Amplifies: 4734.26, 4734.286, 4734.31
Five Year Review Date: 12/25/2030
Prior Effective Dates: 12/1/2012, 4/1/2016

Rule 4734-7-05 | Reinstatement of forfeited chiropractic license.

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

(A) Requirements for applications filed before the first day of the second year of the CE period:

(1) A completed application for reinstatement;

(2) Six hundred fifty dollar non-refundable fee; (five hundred dollar reinstatement fee and a one hundred fifty dollar penalty fee);

(3) Evidence of earning thirty-six hours of CE in accordance with rule 4734-7-01 of the Administrative Code within the twenty-four months immediately preceding the date of application;

(4) Fingerprint criminal background check results completed no earlier than one hundred eighty days preceding the date of application for reinstatement.

(B) Requirements for applications filed on or after the first day of the second year of the CE period:

(1) A completed application for reinstatement;

(2) Four hundred dollar non-refundable fee; (two hundred fifty dollar reinstatement fee and a one hundred fifty dollar penalty fee);

(3) Evidence of earning eighteen hours of CE, of which must include two hours of board mandated CE, in accordance with rule 4734-7-01 of the Administrative Code within the twenty-four months immediately preceding the date of application;

(4) Fingerprint criminal background check results completed no earlier than one hundred eighty days preceding the date of application for reinstatement.

(C) If an individual's license has been forfeited for two years or more, the board may require as a condition for reinstatement that the applicant complete training or testing which may include passing the "Special Purposes Examination for Chiropractic" offered by the national board of chiropractic examiners.

(D) Any refusal or denial of an application must comply with the hearing requirements of Chapter 119. of the Revised Code.

Last updated December 29, 2025 at 7:47 AM

Supplemental Information

Authorized By: 4734.10, 4734.25
Amplifies: 4734.25
Five Year Review Date: 12/25/2030
Prior Effective Dates: 10/1/2017