Alabama - 18 hours per 1 year renewal cycle (October 1 - September 30)
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Distance Allowed: No more than 1/3 hours per renewal cycle |
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2 hrs per year in Alabama Law and Board Rules and Regs |
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Alaska - 32 hours per 2 year renewal cycle (Accepts PACE)
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Distance Allowed: No more than 1/3 hours per renewal cycle |
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8 hours in radiographic safety, techniques and interpretation or diagnostic imaging; 2 hours coding and documentation; 2 hours in ethics and boundaries; 2 hours in CPR
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Arizona - 12 hours per 1 year renewal cycle (January 1 - December 31)
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Distance Allowed: 12 hours of post-graduate mediated instruction through an accredited college or university
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Approved subjects: Adjusting techniques; spinal analysis; physical medicine modalities and therapeutic procedures; record keeping and documentation; ethics; CPR; public health; communicable diseases; sexual boundaries; emergency procedures; acupuncture; nutrition; examination, assessment and diagnostic procedures to include physical, orthopedic, neurological procedures; radiographic technique; diagnostic imaging and interpretation; laser as permitted by law; clinical laboratory procedures limited to urine collection, fingerpricks and venipuncture; anatomy; physiology' bacteriology; chiropractic orthopedics and neurology; chemistry; pathology; patient management; evidence-based clinical intervention models; symptomatology; Arizona jurisprudence; participation in the NBCE exam development or administration
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| Arkansas - 24 hours per 1 year renewal cycle |
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Distance Allowed: 12 hours per renewal cycle |
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subject matter defined in statute; requires courses on subject examined for licensure and specialties |
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| California - 24 hours per 1 year renewal |
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Distance Allowed: 12
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2 hours in ethics and law; 4 hours in history taking and physical exam procedures, chiropractic adjustive technique, chiropractic manipulation techniques, or proper ethical billing and coding
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Colorado - 15 hours per year (2 year renewal cycle)
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Distance Allowed: 10 hours every 2 years; must include a proficiency test |
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4 hours every two years in record keeping and documentation; required to maintain Health Provider level CPR |
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| Connecticut - 48 hours per 2 year renewal cycle |
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Distance Allowed: 48 hours per renewal cycle - must include a self-assessment |
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Must include ethics, documentation, cultural competence, 2 hours patient communication (including boundary training and/or informed consent)
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| Delaware - 24 hours per 2 year renewal cycle |
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Distance Allowed: 24 hours per renewal cycle in distance learning that includes live interaction with an instructor; 6 in asynchonous education |
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Must include 3 hours in ethics, record keeping, or risk management; no practice management |
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| District of Columbia - 24 hours per 2 year renewal cycle |
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Distance Allowed: 24 hours per renewal cycle |
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| Florida - 40 hours per 2 year renewal cycle |
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Distance Allowed: 0 |
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o One (1) hour of risk management CE
o Two (2) hours of Florida laws and rules CE
o Two (2) hour course relating to prevention of medical errors
o Six (6) hours of record keeping/documentation and coding
o Two (2) hours in the area of ethics and boundaries
o For Chiropractic Physicians with Acupuncture Certification – 12 hours in Acupuncture CE
o 27 hours in general CE |
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| Georgia - 20 hours per 1 year (2 year renewal cycle) |
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Distance Allowed: 20 hours every 2 years - must be test and time monitored to ensure active participation |
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15 Chiropractic Clinical Science; 4 ethics or risk management; 1 GA Jurisprudence |
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| Hawaii - 20 hours per 2 year renewal cycle |
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Distance Allowed: 20 hours per renewal cycle |
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Must be a formal program of learning which will contributed directly to the professional competence of a licensee in public practice (Practice-building NOT approved) |
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Idaho - 18 hours per 1 year renewal cycle (Accepts PACE)
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Distance Allowed: 6 hours per renewal cycle |
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Subjects: anatomy and histology; clinical blood chemistry and hematology; pathology; bacteriology; clinical nutrition; hygiene and sanitation; physiology; symptomatology; urinalysis; chiropractic jurisprudence; chiropractic orthopedics; physiotherapy; chiropractic principles, clinical and physical diagnosis; chiropractic adjustment; neurology, and palpation |
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| Illinois - 150 hours per 3 year renewal cycle |
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Distance Allowed: 150 hours per renewal cycle |
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60 hours in "formal," 90 hours in "informal" |
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| Indiana - 24 hours per 2 year renewal cycle / maximum 12 hours per year (Accepts PACE) |
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Distance Allowed: 0 |
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8 hours of approved courses in public health and/or risk management per year; practice management prohibited |
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Iowa - 60 hours per 2 year renewal cycle (July 1 to June 30) (Accepts PACE)
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Distance Allowed: Up to 16 hours in clinical case management per renewal cycle or 36 hours in clinical case management from CCE accredited college, Iowa Chiropractic Society, American Chiropractic Association, International Chiropractors Association, or PACE
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36 hours in clinical practice (see above for distance limitations); 2 in professional boundaries; 1 hr in Iowa administrative code; 12 in acupuncture if certified |
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Kansas - 1 year update: 50 hours (minimum 20 hours in Cat I); 2 year update: 100 hours (minimum 40 hours in Cat I); 3 year update: 150 hours (minimum 60 hours in Cat I) (Accepts PACE)
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Distance Allowed: No limit |
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Category I: Structured, interactive, formal learning; Category II: Indirectly related to healing arts skills and knowledge (see KS website for more information)
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| Kentucky - 12 hours per 1 year renewal cycle |
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Distance Allowed: 0 |
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Courses must be taken over at least two days; 6 hours must be taken within the state of Kentucky; 2 hours of HIV/AIDs required every 10 years |
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| Louisiana - 12 hours per 1 year renewal cycle; additional 6 hours of risk management even-numbered years |
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Distance Allowed: 0 |
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Must build upon the basic courses required for chiropractic practice |
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Maine - 48 hours per 2 year renewal cycle (Accepts PACE)
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Distance Allowed: 12 hours per renewal cycle |
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Category 1 - includes documented physical attendance, subject material related to the concepts of chiropractic principles and practice including, but not limited to, diagnostic procedures, patient care and management; Category 2 - includes instruction, writing on health subjects for publication, participation in accreditation and exam programs, self-instruction, peer review, professional self-assessment programs, CPR certification, wellness programs, others as approved by the board |
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Maryland - 48 hours per 2 year renewal cycle (Accepts PACE)
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Distance Allowed: 48 hours per renewal cycle |
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3 hours in approved communicable-disease and sanitary procedures; 1 hour in diversity education; 3 hours in risk management; and 1 hour in jurisprudence. |
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Massachusetts - 12 hours per 1 year renewal cycle (April 1 - May 31) (Accepts PACE)
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Distance Allowed: 12 hours per renewal cycle |
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Allowable subject matter includes clinical proficiency, philosophy and ethics, jurisprudence, or the human and biological sciences; Courses devoted to administrative or economic aspects of practice shall not be approved for continuing education credit. |
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| Michigan - 30 hours per 2 year renewal cycle |
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Distance Allowed: 15 hours per renewal cycle |
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1 hour in sexual boundaries, 1 hour in ethics, and 1 hour in pain and symptom management; 2 live, in-person hours in physical measures and 2 live, in-person hours in performance and ordering of tests
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| Minnesota - 20 hours per 1 year renewal cycle (Accepts PACE) |
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Distance Allowed: 20 hours per renewal cycle |
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3 hours in x-ray, 1 hour in professional boundaries, 2 hours in acupuncture (if registered), 6 additional in animal chiropractic (if registered)
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Mississippi - 12 hours per 1 year renewal cycle (July 1 - June 30)
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Distance Allowed: 0 |
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3 hours in risk management |
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| Missouri - 48 hours per 2 year renewal cycle |
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Distance Allowed: 48 hours per renewal cycle - must be board approved |
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24 hours of formal, board-approved CE in at least 3 of the 16 recognized categories (see MO website); self-study, meetings, publishing, presentations, etc. allowed for up to 24 hours of credit |
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Montana - 13 hours per 1 year renewal cycle (Accepts PACE)
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Distance Allowed: 12 hours per renewal cycle |
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No more than 2 hours of philosophy or practice management; 1 hour of professional ethics and boundaries required
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Nebraska - 36 hours per 2 year renewal cycle (August 1 - July 31) (Accepts PACE)
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Distance Allowed: 6 hours per renewal cycle |
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Must complete 4 hours of technical skills in x-ray or adjustive techniques; and 4 hours in HIV/Aids, infectious diseases; boundary training' Nebraska scope; lab testing and interpretation; physical, neurological and orthopedic exam; fraud prevention; rehab; ethics; or use of unlicensed personnel
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Nevada - 36 hours per 2 year renewal cycle (Accepts PACE)
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Distance Allowed: 36 hours per renewal cycle |
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No practice-building or insurance-billing |
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| New Hampshire - 20 hours per 2 year renewal cycle |
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Distance Allowed: No more than 25% of the total hours (currently 5 hours per renewal cycle) |
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Business courses specifically excluded |
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New Jersey - 30 hours per 2 year renewal cycle (Accepts PACE)
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Distance Allowed: 12 in asynchronous distance learning; or 30 in synchronous distance learning
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2 hours in state laws regarding ethics or record keeping; 2 hours in nutrition education |
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New Mexico - 16 hours per 1 year renewal cycle (July 1 - June 30) (Accepts PACE)
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Distance Allowed: 8 hours per renewal cycle unless specific approval is obtained |
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Additional hours may be required by the board
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| New York - 36 hours per 3 year renewal cycle |
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Distance Allowed: 12 hours per renewal cycle |
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one time 2-hour course in child abuse reporting required; at least 12 hours in patient communications, record keeping, and matters of law and/or ethics |
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North Carolina - 24 hours per 1 year renewal cycle (Accepts PACE)
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Distance Allowed: 12 hours per renewal cycle |
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2 hours in coding; 2 hour in compliance; 2 hours in documentation; 2 hours in ethics; 2 hours in sexual boundaries; 2 hours in NC jurisprudence |
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North Dakota - 20 hours per 1 year renewal cycle (Accepts PACE)
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Distance Allowed: 20 hours per renewal cycle |
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4 hours of professional boundaries every 3 years |
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Ohio - 36 hours per 2 year renewal cycle (Accepts PACE)
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Distance Allowed: 12 per renewal cycle for in-state licensees; 36 per renewal cycle for out-of-state licensees |
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1.5 hours on ethics or professionalism; for in-state licensees, 24 hours must be earned in-state |
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Oklahoma - 16 hours per 1 year renewal cycle
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Distance Allowed: 8
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12 hours must be clinical in nature; 8 hours must be earned in-state through an Oklahoma state association
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Oregon - 20 hours per 1 year renewal cycle (Accepts PACE)
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Distance Allowed: 20 hours per renewal cycle |
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All first time licensees and those changing status from inactive to active must complete 4 hours in over-the-counter non-prescriptive substances |
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Pennsylvania - 24 hours per 2 year renewal cycle (September 1 - August 31)
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Distance Allowed: 24 hours per renewal cycle |
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| Rhode Island - 60 hours per 3 year registration cycle |
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Distance Allowed: 30 hours per registration cycle |
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50 hours in clinically-related courses |
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South Carolina - 36 hours per 2 year renewal cycle (Accepts PACE)
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Distance Allowed: 18 hours per renewal cycle |
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2 hours SC rules and regs; 2 hrs risk management |
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South Dakota - 40 hours per 2 years (January 1 to December 31) (Accepts PACE)
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Distance Allowed: 40 hours per 2 years |
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| Tennessee - 24 hours per 1 year |
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Distance Allowed: 6 hours per 1 year |
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For licensees with acupuncture certification, 6 hours of acupuncture are required |
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| Texas - 16 hours per 1 year renewal cycle |
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Distance Allowed: 6 hours per renewal cycle |
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Utah - 40 hours per 2 year renewal cycle (Accepts PACE)
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Distance Allowed: 10 hours per renewal cycle |
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No more than 4 hours of marketing or practice building; licensees who practice acupuncture must complete 10 hours of acupuncture |
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Vermont - 24 hours per 2 year renewal cycle (Accepts PACE)
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Distance Allowed: 24 per renewal cycle |
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Practice management, finance, and philosophy prohibited |
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Virginia - 60 hours per 2 year renewal cycle (Accepts PACE)
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Distance Allowed: n/a |
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Minimum 30 hours in Type 1 (approved by board); maximum 30 hours Type 2 (not approved by board) |
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| Washington - 25 hours per 1 year renewal cycle |
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Distance Allowed: 12 hours per renewal cycle |
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Diagnosis and treatment of the spine or immediate articulations within the scope of practice; X-ray/diagnostic imaging; Adjustive technique; Detection of a subluxation; Physical examination; Hygiene; Symptomatology; Neurology; Pathology; Orthopedics; Patient/case management; Impairment within the scope of practice; CPR; Dietary and nutrition advice; and Chiropractic philosophy and business management (not to exceed a total of 8 hours) |
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| West Virginia - 18 hours per 1 year renewal cycle |
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Distance Allowed: 6 hours per renewal cycle |
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6 hours mandated in Administrative Discounting for 2012 renewal |
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| Wisconsin - 40 hours per 2 year renewal cycle |
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Distance Allowed: 0 |
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Must maintain current CPR certification |
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Wyoming - 12 hours per 1 year renewal cycle (Accepts PACE)
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Distance Allowed: 0 |
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Puerto Rico - 45 hours per 3 years (Accepts PACE)
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Distance Allowed: 15
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| U.S. Virgin Islands - None |
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| Australia - 25 hours per 1 year |
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Distance Allowed: 12.5 hours per 1 year |
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| New Zealand - CE requirements anticipated for 2012 |
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| Alberta - 24 hours per 1 year renewal cycle |
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Distance Allowed: 24 per renewal cycle |
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| British Columbia - 24 hours per 2 years |
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Distance Allowed: at th discretion of the board |
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Minimum 6 hours in x-ray; maximum 6 hours in philosophy |
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| Manitoba - recommended, not mandatory |
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| New Brunswick - 24 hours per 2 years |
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Distance Allowed: with prior approval |
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| Newfoundland/Labrador - 12 hours every 2 years |
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Distance Allowed: 12 hours every 2 years |
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6 hours in radiology required |
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Nova Scotia - 24 hours every 2 years (Accepts PACE)
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Distance Allowed: 6 hours every 2 years |
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| Ontario - Self-directed |
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| Prince Edward Island - 15 hours |
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Practice management prohibited |
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| Quebec - 12 hours of radiology annually |
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| Saskatchewan - 30 hours every 2 years |
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Distance Allowed: 10 hours per 2 years |
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15 hours must be obtained from CAS-provided seminars |
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