Wyoming Board of Chiropractic Examiners

Application and Other Forms

Chiropractor Application Forms

Please be informed that IMEs or chiropractors using telehealth must first obtain a Wyoming license. Please view this advisory  from the Board for further clarification. 

Initial Chiropractic License - For new graduates or those licensed in jurisdictions whose requirements are less stringent than Wyoming.

Chiropractic License by Endorsement - For those actively licensed in another state with requirements as stringent as Wyoming's.

Temporary Chiropractor - To obtain a 30 day temporary permit if actively licensed in another state.

Restoration - If Wyoming license has lapsed within 12 months. 

Relicensure - If Wyoming license has lapsed longer than 12 months.

Reinstatement - If Wyoming license has been revoked, surrendered, suspended, conditioned, or restricted and applicant no longer holds a Wyoming license.

Chiropractic Intern Forms

Intern - Chiropractic Student 

Supervising Licensee - Supervising Chiropractor for the Intern

Other Forms

Address / Name Change Form - To request a change in your name or contact information

License Verification Form - To have your Wyoming license verified to another jurisdiction

Replacement Document Request Form - To request replacement license materials

Renewal Instructions and Forms

Renewal Instructions

Renewal Forms

2024 Renewal Forms were mailed to all licensees on June 7, 2024 to their last known address. 

Didn't receive yours? Download, print, and complete this renewal form. Once complete, mail it in with your renewal fee and CE evidence.