State & National Guidelines

This section is compiled by Frank M. Painter, D.C.
Send all comments or additions to:    Frankp@chiro.org

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   Clinical Guidelines for Chiropractic Practice in Canada
           Clinical guidelines are designed to assist clinicians by providing an analytical framework for the evaluation and treatment of common clinical problems. These guidelines are not intended to replace a clinician's clinical judgement or to establish the only appropriate approach for all patients. They are intended to be flexible. They are not standards of care. Adherence to them is voluntary. The Association understands that alternative practices are possible and may be preferable under certain clinical conditions.

Frequency and Duration of Care Record Keeping Outcome Assessment

   Clinical Protocols and Guidelines for the Practice of Chiropractic
           International Chiropractors Association (ICA) recognizes, as do all realistic and responsible professional organizations, that in the current climate of accountability and concern for quality and appropriateness of care, clinical practice protocols and guidelines for all health professions are in the public interest. It is vitally important to recognize, however, that such protocols and guidelines are not a substitute for legal obligations and authorities, nor a replacement for the best clinical, ethical and professional judgement of the attending doctor. These were updated on 6/02/2000

Frequency and Duration of Care
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Record Keeping and Patient Consents
Adobe PDF        Word document

Outcome Assessment
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   Guidelines for Chiropractic Quality Assurance and Practice Parameters -- Major Recommendations
Aspen Publishers, Inc; 1993
This outline of the "Mercy Center" Consensus Statement covers history and exam, diagnostic imaging, instrumentation (including Questionnaires, Algometry, Inclinometers and Thermography), clinical laboratory recommendations, and a detailed section on record keeping and patient consent. You can purchase a copy of it here for $ 69.00


   Guidelines for Evaluation of Neuromusculoskeletal Disability
            California's Industrial Medical Council Guidelines
            The purpose of these evaluation guidelines is to develop a more uniform method of evaluating musculoskeletal injuries without diminishing the individual expertise of the participating evaluator. This method will allow involved parties (particularly the WCAB) to review evaluator's reports which employ a more standardized format.

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Since 3-01-2000

Updated 11-14-2007