Effective Date of the law requiring certification is August 1, 2017.
3-step process for certification: (1) Education; (2) Examination; (3) Certification by ND Board of Chiropractic Examiners
Certified Chiropractic Clinical Assistant (CCCA) means an individual certified by the board who assists with basic health care duties in the practice of chiropractic under the supervision of a licensed doctor of chiropractic in good standing with the board.
A person may not practice as a Certified Chiropractic Clinical Assistant (CCCA) or claim to be a chiropractic assistant without certification from the board.
Certification is not required for individuals who solely perform administrative activities of a non-clinical nature.
The renewal cycle for all certifications is from March 1st - March 1st of each year. Certifications initially granted between January 1st – March 1st of each year will be deemed automatically renewed for an additional year without payment of an additional renewal fee.
A Certified Chiropractic Clinic Assistant (CCCA) must be under the direct supervision of a ND licensed chiropractor in good standing with the board. Direct supervision means the oversight provided by the chiropractor over the clinical services performed by a CCCA, and requires the chiropractor to be on the premises at all times and readily available to instruct the CCCA throughout the performance of the clinical services.
The Certified Chiropractic Clinical Assistant (CCCA) may assist the chiropractor in patient care involving physiotherapy, electrotherapy, hydrotherapy, chiropractic rehabilitative therapy, administrative processes, and other activities as needed to assist in the practice of chiropractic. The CCCA may perform delegated duties commensurate with the CCCA's education and training, but may not evaluate, interpret, design, or modify established treatment programs of chiropractic care or violate any statute. Certified Chiropractic Clinical Assistants may not participate in clinical decisionmaking, render manipulative chiropractic care, create or change the course of a chiropractic treatment plan, or represent themselves as independent health care providers.
A Certified Chiropractic Clinical Assistant (CCCA) may not perform medical imaging unless also licensed under Chapter 43-62 of the North Dakota Century Code or upon meeting an exception from that chapter. Contact the board office for further information or clarification.