CA CHIROPRACTIC LAW EXAM (CCLE)
2026/2027
Newly Released | Latest Updated Version
85 Questions, Answers & Verified Rationales
Graded A+ | 100% Correct | Guaranteed Pass
Q1: Under the California Business and Professions Code, which of the following activities is
explicitly prohibited within the scope of chiropractic practice?
A. Manipulation of the spine and extremities
B. Issuing a doctor's note for school absence
C. Prescribing Schedule IV controlled substances for musculoskeletal pain without
specific certification
D. Performing needle electromyography (EMG)
Correct Answer: C
Rationale: Correct because while recent legislation (SB 276) permits chiropractors to prescribe
certain Schedule IV and V drugs for musculoskeletal conditions, they must first complete a
specific certification course and register with the Board; prescribing without this certification
remains prohibited. Per Business and Professions Code § 1000-11, the use of drugs is generally
restricted outside of this specific authorized context.
Q2: What is the required frequency for renewing an active chiropractic license in California?
A. Annually on the licensee's birthdate
B. Biennially (every 2 years) on the last day of the licensee's birth month
C. Every 3 years by December 31st
D. Biennially on the anniversary of the original licensure date
Correct Answer: B
,Rationale: Correct because California law mandates that all chiropractic licenses expire
biennially on the last day of the licensee's birth month, requiring the submission of a renewal fee
and proof of Continuing Education. This renewal cycle is established under Business and
Professions Code § 1013.
Q3: A chiropractor fails to maintain patient records for the statutorily required time period and
subsequently cannot produce them during a Board investigation. This constitutes
unprofessional conduct under which section?
A. Business and Professions Code § 1002
B. Business and Professions Code § 1000-15(a)(10)
C. Business and Professions Code § 651
D. Title 16 CCR § 302
Correct Answer: B
Rationale: Correct because BPC § 1000-15(a)(10) specifically defines unprofessional conduct
as the failure to keep adequate records as required by law or by the Board, which includes
maintaining them for the mandatory retention period. Adequate documentation is essential for
patient safety and regulatory compliance.
Q4: Which of the following statements regarding the use of the title "Chiropractor" or "Doctor of
Chiropractic" in California is accurate?
A. A licensee may use the title "Doctor" or "Physician" without qualification in any context.
B. Only individuals holding a valid, active California chiropractic license may use
the titles "Chiropractor," "Doctor of Chiropractic," or the abbreviation "D.C."
C. A student currently enrolled in chiropractic college may use the title "Doctor of Chiropractic"
as long as they include "Student" after it.
D. Licensees from other states may use the title while practicing in California for up to 30 days
without a license.
Correct Answer: B
Rationale: Correct because Business and Professions Code § 1000-13 prohibits any person not
holding a valid, active California license from using the titles "Chiropractor," "Doctor of
Chiropractic," or "D.C.," or implying that they are licensed to practice chiropractic in this state.
Unauthorized use of these titles is a misdemeanor.
,Q5: According to the California Code of Regulations, what is the minimum record retention
period for adult patient records?
A. 5 years from the date of the last entry
B. 7 years from the date of the last entry
C. 10 years from the date of the last entry
D. 3 years after the patient reaches the age of majority
Correct Answer: B
Rationale: Correct because Title 16 CCR § 361(h) mandates that patient records be retained for
a minimum of 7 years from the date of the last entry, ensuring that documentation is available
for future care or legal review. Special rules apply to minors, requiring retention until 1 year
after the minor turns 18 or for 7 years, whichever is longer.
Q6: A patient requests a copy of their entire chiropractic health file. Under California law, what
is the maximum amount a provider can charge for reproducing these records?
A. A flat fee of $25.00 regardless of page count
B. The actual cost of duplication plus a reasonable clerical fee, as specified by the
Health and Safety Code
C. $1.00 per page for the first 25 pages and $0.50 per page thereafter
D. No fee may be charged if the records are being sent to another treating physician
Correct Answer: B
Rationale: Correct while the chiropractic act sets specific boundaries, the authority for
charging fees generally aligns with Health and Safety Code § 123110, which allows providers to
charge a reasonable fee based on actual costs for clerical time and supplies (typically capped at
$0.25 per page plus clerical). This ensures patient access while covering provider costs.
Q7: Dr. Smith treats a minor patient (age 15) for a sports injury. Regarding informed consent,
which of the following is true?
A. Only the patient’s signature is required because they are a teenager.
B. Consent is not required for minors in emergency situations.
C. Informed consent must be obtained from the parent or legal guardian before
treatment can commence.
D. The doctor may proceed with treatment as long as the minor is emancipated.
Correct Answer: C
, Rationale: Correct because for unemancipated minors, informed consent must be obtained
from a parent or legal guardian prior to the rendering of non-emergency care. This is a
fundamental patient rights standard reinforced by both the Chiropractic Act and general
California consent laws (Civil Code § 56.11 and Family Code § 6500 et seq.).
Q8: Which of the following scenarios constitutes a violation of the prohibition against fee
splitting under California law?
A. A chiropractor renting space from a medical doctor and paying a fair market value rent.
B. A chiropractor paying a 20% commission to a massage therapist for every patient they
refer.
C. A chiropractor referring a patient to a physical therapy center in which they have a non-
financial ownership interest.
D. A chiropractor splitting the overhead costs of a shared X-ray facility with another
practitioner.
Correct Answer: B
Rationale: Correct because Business and Professions Code § 650 and 1000-15 prohibit fee
splitting, which is defined as the payment or receipt of any compensation in exchange for the
referral of patients, regardless of whether the patient actually receives treatment. Paying a
commission strictly for a referral is a classic example of unlawful kickback activity.
Q9: Under what specific condition may a chiropractor legally administer or prescribe Schedule
IV controlled substances in California?
A. If they have completed a pharmacology course in chiropractic college
B. Only if they hold a separate Medical Doctor (MD) license
C. If they have completed a Board-approved 12-hour course and obtained a certificate
regarding the administration and prescribing of Schedule IV and V drugs for
musculoskeletal pain
D. Never; chiropractors are strictly prohibited from touching controlled substances
Correct Answer: C
Rationale: Correct because Business and Professions Code § 1000-11, as amended, specifically
authorizes chiropractors to administer and prescribe Schedule IV and V controlled substances
for musculoskeletal conditions only after completing the required education and certification
process established by the Board. This is a limited expansion of scope distinct from general
medical prescribing.
2026/2027
Newly Released | Latest Updated Version
85 Questions, Answers & Verified Rationales
Graded A+ | 100% Correct | Guaranteed Pass
Q1: Under the California Business and Professions Code, which of the following activities is
explicitly prohibited within the scope of chiropractic practice?
A. Manipulation of the spine and extremities
B. Issuing a doctor's note for school absence
C. Prescribing Schedule IV controlled substances for musculoskeletal pain without
specific certification
D. Performing needle electromyography (EMG)
Correct Answer: C
Rationale: Correct because while recent legislation (SB 276) permits chiropractors to prescribe
certain Schedule IV and V drugs for musculoskeletal conditions, they must first complete a
specific certification course and register with the Board; prescribing without this certification
remains prohibited. Per Business and Professions Code § 1000-11, the use of drugs is generally
restricted outside of this specific authorized context.
Q2: What is the required frequency for renewing an active chiropractic license in California?
A. Annually on the licensee's birthdate
B. Biennially (every 2 years) on the last day of the licensee's birth month
C. Every 3 years by December 31st
D. Biennially on the anniversary of the original licensure date
Correct Answer: B
,Rationale: Correct because California law mandates that all chiropractic licenses expire
biennially on the last day of the licensee's birth month, requiring the submission of a renewal fee
and proof of Continuing Education. This renewal cycle is established under Business and
Professions Code § 1013.
Q3: A chiropractor fails to maintain patient records for the statutorily required time period and
subsequently cannot produce them during a Board investigation. This constitutes
unprofessional conduct under which section?
A. Business and Professions Code § 1002
B. Business and Professions Code § 1000-15(a)(10)
C. Business and Professions Code § 651
D. Title 16 CCR § 302
Correct Answer: B
Rationale: Correct because BPC § 1000-15(a)(10) specifically defines unprofessional conduct
as the failure to keep adequate records as required by law or by the Board, which includes
maintaining them for the mandatory retention period. Adequate documentation is essential for
patient safety and regulatory compliance.
Q4: Which of the following statements regarding the use of the title "Chiropractor" or "Doctor of
Chiropractic" in California is accurate?
A. A licensee may use the title "Doctor" or "Physician" without qualification in any context.
B. Only individuals holding a valid, active California chiropractic license may use
the titles "Chiropractor," "Doctor of Chiropractic," or the abbreviation "D.C."
C. A student currently enrolled in chiropractic college may use the title "Doctor of Chiropractic"
as long as they include "Student" after it.
D. Licensees from other states may use the title while practicing in California for up to 30 days
without a license.
Correct Answer: B
Rationale: Correct because Business and Professions Code § 1000-13 prohibits any person not
holding a valid, active California license from using the titles "Chiropractor," "Doctor of
Chiropractic," or "D.C.," or implying that they are licensed to practice chiropractic in this state.
Unauthorized use of these titles is a misdemeanor.
,Q5: According to the California Code of Regulations, what is the minimum record retention
period for adult patient records?
A. 5 years from the date of the last entry
B. 7 years from the date of the last entry
C. 10 years from the date of the last entry
D. 3 years after the patient reaches the age of majority
Correct Answer: B
Rationale: Correct because Title 16 CCR § 361(h) mandates that patient records be retained for
a minimum of 7 years from the date of the last entry, ensuring that documentation is available
for future care or legal review. Special rules apply to minors, requiring retention until 1 year
after the minor turns 18 or for 7 years, whichever is longer.
Q6: A patient requests a copy of their entire chiropractic health file. Under California law, what
is the maximum amount a provider can charge for reproducing these records?
A. A flat fee of $25.00 regardless of page count
B. The actual cost of duplication plus a reasonable clerical fee, as specified by the
Health and Safety Code
C. $1.00 per page for the first 25 pages and $0.50 per page thereafter
D. No fee may be charged if the records are being sent to another treating physician
Correct Answer: B
Rationale: Correct while the chiropractic act sets specific boundaries, the authority for
charging fees generally aligns with Health and Safety Code § 123110, which allows providers to
charge a reasonable fee based on actual costs for clerical time and supplies (typically capped at
$0.25 per page plus clerical). This ensures patient access while covering provider costs.
Q7: Dr. Smith treats a minor patient (age 15) for a sports injury. Regarding informed consent,
which of the following is true?
A. Only the patient’s signature is required because they are a teenager.
B. Consent is not required for minors in emergency situations.
C. Informed consent must be obtained from the parent or legal guardian before
treatment can commence.
D. The doctor may proceed with treatment as long as the minor is emancipated.
Correct Answer: C
, Rationale: Correct because for unemancipated minors, informed consent must be obtained
from a parent or legal guardian prior to the rendering of non-emergency care. This is a
fundamental patient rights standard reinforced by both the Chiropractic Act and general
California consent laws (Civil Code § 56.11 and Family Code § 6500 et seq.).
Q8: Which of the following scenarios constitutes a violation of the prohibition against fee
splitting under California law?
A. A chiropractor renting space from a medical doctor and paying a fair market value rent.
B. A chiropractor paying a 20% commission to a massage therapist for every patient they
refer.
C. A chiropractor referring a patient to a physical therapy center in which they have a non-
financial ownership interest.
D. A chiropractor splitting the overhead costs of a shared X-ray facility with another
practitioner.
Correct Answer: B
Rationale: Correct because Business and Professions Code § 650 and 1000-15 prohibit fee
splitting, which is defined as the payment or receipt of any compensation in exchange for the
referral of patients, regardless of whether the patient actually receives treatment. Paying a
commission strictly for a referral is a classic example of unlawful kickback activity.
Q9: Under what specific condition may a chiropractor legally administer or prescribe Schedule
IV controlled substances in California?
A. If they have completed a pharmacology course in chiropractic college
B. Only if they hold a separate Medical Doctor (MD) license
C. If they have completed a Board-approved 12-hour course and obtained a certificate
regarding the administration and prescribing of Schedule IV and V drugs for
musculoskeletal pain
D. Never; chiropractors are strictly prohibited from touching controlled substances
Correct Answer: C
Rationale: Correct because Business and Professions Code § 1000-11, as amended, specifically
authorizes chiropractors to administer and prescribe Schedule IV and V controlled substances
for musculoskeletal conditions only after completing the required education and certification
process established by the Board. This is a limited expansion of scope distinct from general
medical prescribing.
