Mississippi Administrative Code
Title 30 - Professions and Occupations
Part 2001
Chapter 15 - OFFICE INFORMATION SHEET
Section 30-2001-15-100
Current through September 24, 2024
On or before June 30th of each year, as a part of the licensure renewal process, the Board must be provided, on the form designated by the Board, the following information concerning each licensee and the clinic they work in before renewals may be processed:
1. Clinic name and physical address
2. Clinic mailing address
3. Telephone
4. Fax
5. E-mail address
6. List all licensed Chiropractors
7. List all Chiropractic Assistants
8. List all Radiological Technologists
9. List all Unlicensed Graduate Chiropractors
10. When did the unlicensed graduate chiropractor start working in the clinic?
11. What licenses, certifications or permits does the unlicensed graduate chiropractor hold?
12. What tasks does the unlicensed chiropractor perform in the clinic?
13. Are all licensed chiropractors in the clinic familiar with and in compliance with the advertising restrictions of State law cited as Mississippi Code Ann. Section 73-6-25(1)(b) and Board rule 5.1 ? If not, please explain.
14. Are all licensed chiropractors current with their annual 12 hours of continuing education? (Must included 3 hours of risk management) If not, please explain.
15. Are all Radiological Technologists current with their annual 6 hours of continuing education? If not, please explain.
16. Are all Chiropractic Assistants current with their annual 6 hours of continuing education? If not, please explain.
17. List all other personnel in clinic
18. Please send copies of all yellow page advertisements.
19. Signature of Owner of Clinic and date
20. Signature of other staff, title and date
Miss. Code Ann. § 73-6-5(1972)
