• Mailing List Request

• Licensure Request
  Login to your profile to request an
  Out-of-state Verification and pay the
  fee online.

• Doctor of Chiropratic
  If you would like to begin the application process for a Chiropractor's license  Click Here 
  
  If you are currently licensed, in good standing, in another state and are moving to Mississippi,
  you may be eligible to apply under the Universal Licensure Option. 

• CA Registration Form Online
• RT Registration Form Online

• Complaint Form

Application:

• Emergency License Application Online 
• Travel to Treat Application Online

Intern:

• Intern/Associate Application Notification of Intern

Extern:

• Extern/Associate Application Online
• Extern Sponsoring Doctor's Application Login to Prepare Online

Preceptor:

• Preceptorship/Intern Application Online
• Doctor's Application for Preceptorship Login to Prepare Online

Reinstatement:

• Application for Reinstatement

Renewal Packet:

• Doctor Renewal Form Login to Prepare Online
• CA Renewal Form Login to Prepare Online
• RT Renewal Form Login to Prepare Online
• Claims Reviewer Form Login to Prepare Online
• Office Information Sheet Login to Prepare Online