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Department of Health
John J. Dreyzehner, MD, MPH, Commissioner
Board of Chiropractic Examiners
Applications
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Application for Licensure as a Chiropractor
(PH-3545)
Application for Licensure as a Chiropractic Therapy Assistant
(PH-3666)
Application and Procedures for Licensure as a Chiropractic X-Ray Technologist
(PH-3560)
Reinstatement Application
(PH-2481)
Name and Address Change Request
(PH-3619)
Affidavit of Retirement From Practice in Tennessee
(PH-3460)
Mandatory Practitioner Profile Questionnaire for Licensed Health Care Providers
(PH-3585)
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Criminal Background Check Required for New Applications
Statute Change for Release of Medical Records
(05-16-2006)
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Department of Health
425 5th Avenue North
Cordell Hull Building, 3rd Floor
Nashville, TN 37243
(615) 741-3111
tn.health@tn.gov