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Chiropractic Consultant

The Chiropractic Consultation program is a second-opinion program in Washington state. Doctors can ask for assistance with diagnosis or treatment planning. You must meet the minimum requirements before submitting a chiropractic consultant application.

Requirements to become a chiropractic consultant

  • Provide proof that you have completed:
    • 30 hours (may be part of the 180 hours of post-graduate continuing education described below) of continuing education (CE) during the year before submitting an application, and
    • At least 180 hours of post-graduate continuing education in these subject areas:
      • Chiropractic treatment technique (a maximum of 20 hours may be included),
      • Diagnostic assessment,
      • Diagnostic imaging,
      • Exam and evaluation methods,
      • Neurology,
      • Occupational health practices,
      • Orthopedics.
  • Have an active L&I provider number.
  • Practice in Washington State. Have been in an active clinical practice for 5 years with at least 2 years in Washington State. At least 50% of your practice in Washington is devoted to patient management including treatment of injured workers. Full- or part-time practice requires an average of 8+ hours per week in the past 2 years.
  • Show a pattern of practice consistent with L&I's utilization standards and Medical Aid Rules and Fee Schedules. Be in good standing with L&I.
  • Complete 2 required L&I seminars less than 2 years before submitting your application:
        • Reducing your Practice Headaches: Industrial Medicine Tips for Treating Doctors and
        • Chiropractic Consultant Seminar
  • Maintain a current license to practice in Washington State.
  • Perform the following as a routine part of patient management while acting as an attending doctor for injured workers:
      • Document treatment in the SOAPER or similar format.
      • Submit narrative reports every 60 days.
      • Conduct closing exams and submit reports to the insurer.
      • Comply with L&I requests.
      • Submit an Activity Prescription Form when appropriate or requested.
      • Obtain consultations as clinically indicated and prior to 120 days of conservative care.

    How to apply

    After 1/1/2013, doctors must be in the Medical Provider Network (MPN) before they can apply to become chiropractic consultants. Only doctors in Washington can join the network. See how at: Join the Medical Provider Network.

    Washington chiropractors: You may apply to become a chiropractic consultant at any time you believe you have met the minimum requirements shown above.

    Send the Chiropractic Consultant Application and your documentation to: 

    L&I, Provider Credentialing and Compliance
    P.O. Box 44322
    Olympia, Wash. 98504-4322

    Ongoing requirements for chiropractic consultants

    • Be in an active clinical practice in Washington State.
    • Devote at least 50% of your practice to patient management including treatment of injured workers. Requires an average of 8+ hours per week in the past 2 years.
    • Complete 30 hours of continuing education every year in subjects such as:
        • Chiropractic treatment technique (a maximum of 20 hours may be included),
        • Diagnostic assessment,
        • Diagnostic imaging,
        • Exam and evaluation methods,
        • Neurology,
        • Occupational health practices,
        • Orthopedics.
      • Every 2 years attend L&I’s:
        • Chiropractic consultant seminar, or
        • Chiropractic independent medical examiner seminar, or
        • Any other pertinent programs sponsored by L&I.
      • Show a pattern of practice consistent with L&I's utilization standards and Medical Aid Rules and Fee Schedules. Continue in good standing with L&I.
      • Perform the following as a routine part of patient management while acting as an attending doctor for injured workers:
        • Document treatment in the SOAPER or similar format.
        • Submit narrative reports every 60 days.
        • Conduct closing exams and submit reports to the insurer.
        • Comply with L&I requests.
        • Submit an Activity Prescription Form when appropriate or requested.
        • Obtain consultations as clinically indicated and prior to 120 days of conservative care.

    For more information, see:

  • Chiropractic Services
  • Chiropractic Consultation Program
  • Applicable Laws (RCW) and Rules (WAC)

    Definitions: Consultation examination report – WAC 296-20-01002
    Treatment in cases that remain open beyond 60 days – WAC 296-20-035
    Consultation requirements – WAC 296-20-045
    Consultation –  WAC 296-20-051
    Chiropractic Consultations –  WAC 296-23-195


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