Board of Chiropractic Examiners

Application/Forms

All forms may be viewed and printed with the free Adobe Acrobat Reader 6.0 or higher.

Initial License Applications

  • Chiropractic License Application, #08-0672, Revised 06/13/11. Application and instructions for licensure by examination or for licensure by credentials.
  • Courtesy License Application, #08-4500, Revised 08/12/10. Application and instructions for out-of-state chiropractic physicians working at a special athletic, cultural, or performing arts event in the State of Alaska.
  • Chiropractic Application for Locum Tenens Permit, #08-4319, Revised 08/12/10. Application and instructions for out-of-state chiropractic physicians substituting in an Alaska-licensed chiropractic practice.

Renewal and Reinstatement Applications

NOTE: Licenses lapsed or in retired status for more than five years may not be reinstated. See the initial license application.

Miscellaneous Forms