Rule 4734-6-04 | Preceptorships.
(A) In accordance with section 4734.27 of the Revised Code, the board may approve the limited practice of chiropractic in this state by a student intern of a board approved doctor of chiropractic degree program that offers a preceptorship program.
(B) Definitions.
(1) Preceptorship program is a clinical program in which chiropractic interns participate under direct supervision of an Ohio licensed chiropractic physician. Only board approved doctor of chiropractic degree programs may conduct preceptorship programs in this state.
(2) Preceptor is an Ohio licensed chiropractic physician approved by the intern's doctor of chiropractic degree program and the board to provide direct supervision of the limited practice of chiropractic in this state by a student intern.
(3) Intern is an individual enrolled in a doctor of chiropractic degree program who has completed all requirements for the doctor of chiropractic degree except for the final clinical phase of the program and is approved by the board to practice chiropractic in Ohio in accordance with section 4734.27 of the Revised Code.
(4) Direct supervision of an intern means initial and ongoing direction, procedural guidance, observation, and evaluation by the approved preceptor who shall remain in the patient care area to supervise and monitor the intern's performance when the intern is performing any patient care. The preceptor must be readily available to the intern and patient.
(C) Preceptor approval.
(1) The board may approve a licensee to be a preceptor if the licensee meets all of the following :
(a) Continuously licensed and actively practicing in Ohio for five years preceding the date of application;
(b) No pending disciplinary action in any jurisdiction;
(c) No disciplinary action in any chiropractic jurisdiction within the seven years preceding the date of application;
(d) The intern's doctor of chiropractic degree program approves the licensee to act in a preceptor capacity;
(e) Evidence of current valid malpractice insurance for the duration of the preceptorship program.
(2) The board may refuse to approve, or withdraw its approval of the preceptor at any time.
(D) Intern approval.
(1) Each intern must apply for a special limited license and must submit satisfactory evidence of their qualifications as prescribed by section 4734.27 of the Revised Code and this rule. A complete application, including a non-refundable application fee in the amount of seventy-five dollars , and all required credentials, facts and materials as the board requires must be filed with the board.
(2) An application for a special limited license must include the following:
(a) An attestment from the academic dean that the applicant is in good academic standing with the doctor of chiropractic degree program and has completed all requirements for a doctor of chiropractic degree except for the clinical phase of the program;
(b) A passport type photograph taken within the preceding six months.
(3) Applicants have an ongoing obligation to update and supplement all information provided to the board in writing within ten days of any change.
(4) The board may refuse or deny an applicant for a limited license if the applicant does not meet the requirements outlined in section 4734.27 of the Revised Code or this rule.
(5) Any refusal or denial of an application must comply with the hearing requirements of Chapter 119. of the Revised Code .
(E) Preceptorship standards and procedures.
(1) The preceptor must exercise direct on-premises supervision of the intern at all times during which the intern is engaged in any facet of patient care in the preceptorship program.
(2) The preceptor must identify the intern to patients of the preceptorship practice in such a way that no patient will be misled as to the status of the intern.
(3) The intern must display a name badge identifying the intern's status as an intern at all times .
(4) The preceptor must monitor and track the intern's activity and regularly evaluate the intern's performance.
(5) Interns may assist preceptors in the performance of those duties that are lawful and ethical under Chapter 4734. of the Revised Code and agency 4734 of the Administrative Code including but not limited to physical examinations, patient consultation, radiologic procedures, x-ray interpretation, specific chiropractic adjustment procedures and physical therapeutics.
(6) Interns are required to document all patient encounters in a logbook. Entries must be made for all patient encounters, including observation. These entries should accurately reflect patient identification, involvement, and services rendered. Copies of logbook entries may be requested by the board at any time.
(7) The preceptor must maintain copies of all logbook records for one year following conclusion of the preceptorship program.
(8) The board may conduct random inspections of a preceptor site, including inspection of all pertinent documents to determine whether the program maintains the minimum standards required by the board.
(9) Any change in preceptor must be pre-approved by the board in writing.
(F) An intern is prohibited from:
(1) Independently diagnosing the condition of a patient;
(2) Independently establishing a plan of treatment or prognosis for a patient;
(3) Independently performing any service not at the direction and supervision of an approved preceptor;
(4) Billing independently for any service rendered; or
(5) Signing insurance forms or any other forms which require a licensed chiropractic physician's signature.
Last updated June 17, 2026 at 7:38 PM
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