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Oregon.gov Licenses, Permits and Registrations
Department of Consumer & Business Services
Detailed Information for: Chiropractic Physician Workers' Compensation Certification
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Updated: 4/6/2009
Description: For workers' compensation claims in Oregon, a chiropractic physician must certify to the director of the Department of Consumer and Business Services, prior to treating a patient, that:
  • They are an Oregon licensed chiropractic physician

  • They have reviewed the packet of information


  • Return and submit the completed Chiropractor's Statement of Certification form (Form 440-3648, which is located on the back page of the Chiropractor's Guide to Oregon On-the-Job Injuries)

    Once you have submitted your statement form, you should review our List of certified care providers to ensure your information is correct.
    Statutes, Rules, Ordinances: ORS 656.799
    Duration: Ongoing
    Fees - application, exam, etc.:  None
    Responsible Agency: Workers' Compensation Division - Licenses
    Examination Information: There is a self-test in the "Chiropractors' Guide to Oregon On-the-Job Injuries."
    Continuing Ed Requirements: None
    Bonding Requirements: None
    Insurance Requirements: None
    Prerequisites: 1. Must be an Oregon licensed chiropractic physician
    2. Read and understand information required by the Workers' Compensation Division. This information can be obtained from the division by calling 503-947-7627 or from the WCD Web site.
    Application Form: Chiropractor's Statement of Certification
    Service Links:  Chiropractor's Statement of Certification
     Chiropractors' Guide to Oregon On-the-Job Injuries
     List of Certified Care Providers
     Online Chiropractor Certification
    contact Agency Contact Information
    Additional Information: For additional information or help on the chiropractic physician certification certifying to the director, please contact the Medical Section at 503-934-6049.

      Agency Information
    Please refer to the Agency Website for further details and additional information.
    Agency Name: Workers' Compensation Division - Licenses
    E-mail Address: Workcomp.questions@state.or.us
    Phone: 503-947-7810 or 800-452-0288 (toll-free in Oregon)
    Mail Address: DCBS - Workers' Compensation Division
    PO Box 14480
    Salem, OR 97309 - 0405
    Website Information: http://www.wcd.oregon.gov/

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