Preceptor Request form to be faxed to CA. prior to preceptorship 6/8/2016

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1 State Preceptorship Requirements State History Exam Adjust Therapy Any State Requirements Who spoke to Number Date Notes Alabama Alaska No No No No No Preceptorship allowed at this time 1/3/2017 Arizona Yes Yes Yes Yes Arkansas Intern must apply for Precetorship though the state. Application at Justin /24/2014 No Postceptorship California Yes Yes Yes Yes Preceptor Request form to be faxed to CA Chiro Board No Postceptorship Colorado No No No No Observation Only! No application is required. Tony Munoz Connecticut Also contact: Lisa Hill or Nancy Werner Latonya Brown or 800- Delaware No Yes No No Observation Only s /23/2015 No application is needed for Preceptorship DC Florida Yes Yes Yes Yes None Ann /10/2009 Doctor must be approved by the state board Georgia Yes Yes Yes Yes prior to preceptorship 6/8/2016 Hawaii No No No No there are no Precetorships allowed State Board Website 11/22/2011 See board rule Scope of Practice of Chiropractic Students. Doctor must be licensed for 5yrs Idaho Yes Yes Yes Yes There is a state application that the student needs to complete, a page the doctor needs to sign, and there is a $50 fee. Marilyn /1/2014 Illinois No No No No there are no Precetorships allowed Kyle /24/2009 Indiana Iowa Kansas Yes Yes No Yes Paige Kentucky left vm 8/12/2016, 8/19/16 and ed State application.not to be sent out until 11th qtr (week 6). Student must have passed all required UWS courses!!!no Postceptorships, but can get a license as a CA. Spoke to Marilyn re: confirmation letter for Chiro intern license # Preceptor/Intern/Extern Program: Students may practice under licensed D.C. if completed three years of chiropractic college.

2 Louisiana Maine No No No No Maryland Massachusetts No No No No Preceptorship nor Postceptorships in any form are not allowed in the State of Maine Debrorah /27/2009 Observation Only! Does not require any state applictions, since they can only shadow a licensed DC Joanne /28/2015 No Postceptorship Michigan Yes Yes Yes Yes Intern must apply for Precetorship though the state. Application at iro_educ_ldt_app_packet_91595_7.pdf Perry Bell /24/2014 Minnesota Lori Balanski /2/2016 Mississippi Missouri No Postceptorship State application must be filled out entirely by both DR and student for process! PG 9 There's an application to be completed by the student, signed by both the student and the DC, and a $100 fee paid by both. oard/board_page.asp Montana Yes Yes Yes Yes Tracy /10/2009 Current approval time is about 1 week. They do allow postcep. Nebraska Yes Yes Yes Yes None Diane /13/2010 No Postceptorship Nevada Yes Yes Yes Yes Both doctor and student must fill out application: or_program/ Julie /23/2015 New Hampsire No No No No Preceptorship is not allowed. Fax letter to NV chiro Board once doctor is accepted for preceptorship. Fax # New Jersey Yes No No No Preceptorship is not allowed Larry New Mexico Yes Yes Yes Yes New York locdc@icloud.com 8/25/2014 DC must contact state to request a form they must complete Dona /15/2014 The student is basically an observer. he/she can do only those tasks that are delegable that any person in the office can do. They can develop x-rays, take information, observe, etc. They cannot adjust the patients or apply any modalities either. dona.tafoya@state.nm.us New mexico Chiropractic Board PO Box Santa Fe, NM North Carolina No No No No NO PRECEPTROSHIP AT THIS TIME! Jamie Hoopaugh, Licensing Manager NCBC /20/ jamie@ncchiroboard.com

3 North Dakota Ohio Yes Yes Yes Yes ls/0/forms/preceptorship%20app lication%20and%20instructions.p df Kelly Caudill, Executive Director /14/2014 No Postceptorships Oklahoma Yes Yes Yes Yes The Preceptor DC must go before the State Chiro board, and the student must send a letter giving their personal information, when they would like to do the Preceptorship and stating whom they would like to do a preceptorship with. The State will send the student an application which is to be returned along with a $35 fee. DC will have an application they must complete as well. Lindsey /24/2009 No Postceptorships Oregon Yes Yes Yes Yes None No Postceptorships Pennsylvania Rhode Island Yes Yes NO Yes South Carolina South Dakota Yes Yes Yes Yes Tennessee parentname=searchresult&space=searchre sult&in_tx_query=chiropractic+laws&parentid =0&in_hi_userid=2&control=bannerstart&cach ed=false Jacqueline Wolfgang 11/13/2014 No state application required for doctor or intern receptapp.pdf drmichael@drmgottfried.c om 4/22/2016 Dr. C. Kevin Donovan ckevind@verizon.net Marcia Walker, Executive Director sdbce@iw.net /4/ DFs/PH-3545.pdf Lakita Taylor (615) /25/2015 See legislature rule 20:41:12:01 (Preceptor selection) Doctor must be lisenced in SD consecutively for 5yrs in order to be eligible! Texas Yes Yes Yes Yes NO temporary license is required! DC must have been licensed for a minimum of 3 years. Jennifer Hertsenberg, Director of Licensing tbce@tbce.state.tx.us Allyson Pettley, Bureau Manager Main (512) Fax (512) /27/2015 apettley@utah. gov 12/17/2015 Sarah Matthews Front Desk Reception, Open Records Cooridinator & Admin. Asst. for Licensure Direct (512) Sarah@tbce.state.tx.us Postceptorship is allowed. Student must apply for temporary license and provide own malpractice insurance. Utah Yes Yes Yes Yes Vermont Virginia No No No No Observation Only Allen Heaberlin /16/2013 No Postceptorships

4 Sue Hall, Chiropractic Quality Assurance DC must register with State application Commission nts/pubs/ pdf /20/2016 Doctor only needs to renew if application has expired.(not per student) Postceptorship allowed, graduates can adjust. Postceptor DC still needs to register with state and pay fee Washington Yes Yes No Yes West Virginia Yes Yes No Yes Barbara Johnson /9/2011 Postceptorship is not available Wisconsin Wyoming Yes Yes Yes Yes Canadian Preceptorship Requirements Both DC and student need to fill out Preceptor state application. Student must pass Parts I and II Boards Emily Cronbaugh, Executive Director emily.cronbaugh@wyo.go v /15/2015 You will need to get an verification for license. NOT available online! michelle.flynn1@wyo.gov Provinces History Exam Adjust Therapy Any Providence Requirements Who spoke to Number Date Notes Alberta Yes Yes Yes Yes Must be within 6 months of graduating. There is an application and fee Alberta requires. Terry /19/2009 Postceptorship is not available British Columbia Yes Yes Yes Yes Manitoba There is a Fee and on-line registration that BC requires. Susan Wawryk Administrative & Member Services - CCBC susan@chirobc.com /4/2015 Postceptorship is not available Manitoba Chiropractic Association /9 left vm New Brunswick Yes Yes Yes Yes Newfoundland As long as the dc is the building, must be graduated 5 yrs or more. Must be covered through the CCPA. Can be 3 to 6 months. There is an application that must be completed by the doctor and the student. Dr. Mohamed El-Bayoumi Chief Executive Officer New Burnswick Chriopractic Association /9/2016 Labrador Chiropractic Association /9 left vm Nova Scotia Yes Yes Yes Yes No limit on length of time. The Board of the Nova Scotia College of Chiropractors Donna /19/2016

5 Ontario Yes Yes Yes Yes DC has to be licensed for 3 years, have appropraite malpractice ins, and be in room with treatment. Can be 3 to 6 months. College of Chiropractors of Ontario Joel x104 Quebec Dr. Daniel Saint-Germain Ordre des chiropraticiens du Québec (450) /9 Does not usually allow, but will speak to the board on 5/17. Call on 5/18 for answer. Saskatchewan Yes Yes Yes Yes DC has to be in the room for treatment. Can be 3 to 6 months. Chiropractic Association of Saskatchewan /16/2016 5/9 The registrar, Denise, ahd left for the day. She works m,t, th 9-3

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