State & National Guidelines

This section was compiled by Frank M. Painter, D.C.
Send all comments or additions to:

Patient Satisfaction Cost-Effectiveness Safety of Chiropractic

Senior Care Chiropractic Rehab Integrated Care

Headache Page Whiplash Section Disc Herniation

Chronic Neck Pain Low Back Pain Stroke & Chiropractic

Exercise + Chiropractic Care For Veterans Subluxation Complex

ChiroZine Case Reports Pediatric Section

Conditions That Respond Alternative Medicine Approaches to Disease

Clinical Guidelines for Chiropractic Practice in Canada
Clinical guidelines are designed to assist clinicians by providing an analytical framework for the evaluation and treatment of common clinical problems. These guidelines are not intended to replace a clinician's clinical judgement or to establish the only appropriate approach for all patients. They are intended to be flexible. They are not standards of care. Adherence to them is voluntary. The Association understands that alternative practices are possible and may be preferable under certain clinical conditions.

Frequency and Duration of Care Record Keeping Outcome Assessment

Clinical Protocols and Guidelines for the Practice of Chiropractic
International Chiropractors Association (ICA) recognizes, as do all realistic and responsible professional organizations, that in the current climate of accountability and concern for quality and appropriateness of care, clinical practice protocols and guidelines for all health professions are in the public interest. It is vitally important to recognize, however, that such protocols and guidelines are not a substitute for legal obligations and authorities, nor a replacement for the best clinical, ethical and professional judgement of the attending doctor. These were updated on 6/02/2000

Frequency and Duration of Care
Adobe PDF        Word file not available
Record Keeping and Patient Consents
Adobe PDF        Word document
Outcome Assessment
Adobe PDF        Word document

Clinical Documentation
The American Chiropractic Association

Last year, representatives from 13 of the largest insurers in the United States met with ACA representatives during the second meeting of the ACA-sponsored Claim Solutions Work Group. Based on the suggestions made during this meeting and on recent trends, ACA recommends certain basic requirements be considered as appropriate clinical documentation in patient record keeping. Some of the insurers present at the meeting agreed that using these practices will also reduce clinical record requests by 50 percent.

Medicare Documentation Guidelines
The American Chiropractic Association

The American Chiropractic Association provides this commentary in order to assist its members to better understand the Medicare PART clinical documentation guidelines. These are Centers for Medicare and Medicaid Services (CMS) guidelines that apply to Medicare only. However, since these guidelines describe “medical necessity” for Medicare, they would easily apply to any other insurer's requirements.

Recommendations for Chiropractic Documentation
Wisconsin Chiropractic Association

This 45 page document from the includes a section on chiropractic “listings”, indicators of chronicity, and an extensive list of commonly used abbreviations.

Guidelines for Chiropractic Quality Assurance and Practice Parameters
-- Major Recommendations

Aspen Publishers, Inc; 1993

This outline of the "Mercy Center" Consensus Statement covers history and exam, diagnostic imaging, instrumentation (including Questionnaires, Algometry, Inclinometers and Thermography), clinical laboratory recommendations, and a detailed section on record keeping and patient consent. You can purchase a copy of it here for $ 69.00

Guidelines for Evaluation of Neuromusculoskeletal Disability
California's Industrial Medical Council Guidelines
The purpose of these evaluation guidelines is to develop a more uniform method of evaluating musculoskeletal injuries without diminishing the individual expertise of the participating evaluator. This method will allow involved parties (particularly the WCAB) to review evaluator's reports which employ a more standardized format.

Return to the GUIDELINES Section

Since 3–01–2000

Updated 5-01-2018

                       © 1995–2019 ~ The Chiropractic Resource Organization ~ All Rights Reserved