Dental and Medical Counsel Blog

How to Start a Chiropractic Clinic in California

June 8, 2023
Chiropractic Clinic

With body adjustments, spinal realignment, and more, chiropractors offer specialized treatments with exceptional results. As the demand for chiropractic services continues to grow, now is the perfect time to establish your own practice. Seize the opportunities available to you by taking the first steps toward launching your chiropractic clinic today!

What is a Chiropractic Clinic?
While there may be some similarities between chiropractic clinics and traditional wellness centers, there are distinct differences. Wellness centers typically focus on relaxation and comfort, offering services such as massages and facials. On the other hand, chiropractic clinics go beyond relaxation and provide treatments that require the expertise of licensed chiropractors, such as spinal adjustments and therapeutic manipulations.

Popular services at chiropractic clinics include spinal realignment, posture correction, pain management, sports injury rehabilitation, and overall wellness treatments.

California Laws on Chiropractic Clinic Businesses
Many individuals view owning a chiropractic clinic as a promising career choice, as people increasingly seek natural healthcare solutions. However, it's important to note that in order to operate legally, most states require these businesses to be owned by licensed chiropractors. Additionally, California has its own specific requirements in addition to this general rule.

Can You Operate Your Chiropractic Clinic Business in California as an LLC?

A chiropractic clinic cannot operate as an LLC in California. If you plan to expand your chiropractic business into California, you will need to dissolve your LLC (limited liability company) and establish a Professional Corporation. It's crucial to remember that the professional corporation must be owned by a licensed chiropractor to comply with city and state laws.

Professional Chiropractic License: Who Can Own a Clinic in California?

● A professional chiropractic corporation can only be formed by individuals with an active chiropractic license. The following are examples of those who qualify:

● Chiropractor

● Physical therapist

● Podiatrist

● Nurse practitioner

● Acupuncturist, etc.

California Law Covering Chiropractic Clinic Services

Chiropractic Services in California

Only licensed chiropractors are authorized to perform chiropractic treatments in California. They are trained to diagnose and treat musculoskeletal conditions, focusing on the alignment of the spine and nervous system. Other healthcare professionals, such as physical therapists or nurses, may work in collaboration with chiropractors under their supervision but are not permitted to independently perform chiropractic adjustments.

Chiropractic clinics provide non-invasive treatments that aim to improve the body's natural healing abilities. These treatments focus on correcting misalignments and imbalances in the musculoskeletal system. Procedures such as spinal adjustments, posture correction, and pain management are considered chiropractic treatments and can only be performed by licensed chiropractors. It is important to adhere to state laws and regulations regarding the administration of chiropractic services.

Chiropractor Clinic in California

The Importance of a Chiropractic Lawyer When Opening a Practice

When starting a chiropractic practice, it is crucial to seek the guidance of a chiropractic lawyer to navigate the legal complexities specific to the industry. Chiropractors face unique regulatory and compliance challenges that require specialized knowledge and expertise. A chiropractic lawyer can provide invaluable assistance in various areas, such as business formation, licensing, insurance, employment agreements, contract negotiations, and compliance with healthcare regulations.

A chiropractic lawyer understands the intricacies of state and federal laws governing chiropractic practices, including licensing requirements, the scope of practice, billing and coding regulations, HIPAA compliance, and insurance reimbursement issues. They can help you establish the appropriate legal structure for your practice, whether it's a professional corporation, limited liability company (LLC), or partnership, and ensure compliance with all necessary filings.

Operating a Successful Chiropractic Clinic

Develop a Business Plan

Before launching your chiropractic clinic, create a comprehensive business plan that outlines your goals, target market, and competitors. While the chiropractic industry is constantly evolving, having a blueprint will help you make informed decisions for your practice.

Ensure Compliance with Legal Requirements

It is essential to adhere to all legal requirements for operating a chiropractic clinic, including:

Choosing the appropriate business structure and registering your business (consulting with legal professionals may be necessary)
Obtaining the necessary licenses and permits
Acquiring appropriate insurance, such as professional liability insurance, general liability insurance, and property insurance. Additionally, develop legally binding patient consent forms that adhere to HIPAA privacy laws. Finally, establish systems for compliance with OSHA workplace guidelines and other relevant standards.

Integrate Chiropractic and Wellness Services

To attract and satisfy clients, offer a wide range of services that align with your chiropractic expertise. Depending on your license and training, you may incorporate complementary treatments such as physical therapy services, massage therapy, nutritional counseling, and corrective exercises. By offering a holistic approach to wellness, you can impress customers and provide comprehensive care.

Choose the Right Location

When selecting a location for your chiropractic clinic, consider accessibility and convenience for potential clients. While people may be willing to travel to see a chiropractor, it's beneficial to choose a location that is easily reachable and has a balanced mix of residential and commercial areas. Additionally, ensure that the zoning regulations allow for chiropractic services in the chosen area.

Develop a Customer Acquisition Strategy

To build a thriving chiropractic clinic, it's crucial to have a solid marketing and sales strategy. Start by creating an attractive website that showcases your services, expertise, and testimonials from satisfied clients. Implement search engine optimization (SEO) techniques to improve online visibility. Utilize pay-per-click (PPC) advertising, social media platforms, and content marketing to reach and engage your target audience. Additionally, establish partnerships with local businesses and healthcare professionals to generate referrals.

Overview of Requirements for Chiropractic Clinics in California

To avoid delays and disruptions in your business operations, familiarize yourself with the laws and requirements for chiropractic clinics in California before starting your practice. Take the necessary steps and submit the required forms in advance to ensure a smooth registration process with the California Secretary of State.

Key Factors for a Successful Chiropractic Clinic

1. Develop a comprehensive business plan that outlines your goals, target market, and competitive analysis.

2. Ensure compliance with all legal requirements, including choosing the right business structure, obtaining the necessary licenses and permits, and securing appropriate insurance coverage.

3. Integrate a range of chiropractic and wellness services that align with your expertise and license. This will provide a well-rounded approach to patient care.

4. Choose a strategic location that is easily accessible to your target market and complies with zoning regulations.

5. Implement a robust marketing strategy to attract and retain clients. Focus on creating a strong online presence, building partnerships, and utilizing various marketing channels to reach potential customers.

By following these guidelines and considering the specific laws and regulations in California, you can establish and grow a successful chiropractic clinic that provides top-quality care to your patients.

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Frequently Asked Questions

Q: Can I open a chiropractic practice without consulting a chiropractic lawyer?

A: While it is technically possible to open a chiropractic practice without consulting a lawyer, it is highly recommended to seek the guidance of a chiropractic lawyer. They possess the necessary knowledge and expertise to navigate the legal complexities specific to the industry and can help you ensure compliance with relevant regulations.


Q: What legal structure should I choose for my chiropractic practice?

A: The most common legal structures for chiropractic practices are professional corporations, limited liability companies (LLCs), and partnerships. A chiropractic lawyer can help you determine the best structure for your specific needs and guide you through the process of establishing the appropriate legal entity.


Q: What licenses do I need to operate a chiropractic clinic?

A: Licensing requirements vary by state. In general, you will need to obtain a chiropractic license from the state licensing board where you intend to practice. A chiropractic lawyer can assist you in understanding and fulfilling the licensing requirements in your specific jurisdiction.


Q: Can a chiropractic lawyer help with insurance-related matters?

A: Yes, a chiropractic lawyer can provide guidance on insurance-related issues such as insurance reimbursement, billing and coding regulations, and compliance with insurance requirements. They can help ensure that your practice follows proper procedures to maximize reimbursement and mitigate potential insurance-related challenges.


Q: What role does a chiropractic lawyer play in contract negotiations?

A: A chiropractic lawyer can help with contract negotiations by reviewing and advising on various contracts relevant to your practice. This may include lease agreements, employment contracts, independent contractor agreements, and patient consent forms. They will ensure that your best interests are protected and that the contracts are fair and compliant with applicable laws.


Q: Can a chiropractic lawyer assist with compliance-related matters?

A: Absolutely. A chiropractic lawyer can guide you in understanding and complying with healthcare regulations, such as HIPAA privacy laws, Stark Law, and Anti-Kickback Statute. They can help you establish compliant policies and procedures to protect patient privacy and ensure ethical practice.


Q: What other services can a chiropractic lawyer provide?

A: In addition to the areas mentioned above, a chiropractic lawyer can assist with risk management, legal disputes, business transactions, partnership agreements, regulatory compliance, and general legal advice specific to the chiropractic industry.


Q: How can a chiropractic lawyer help with marketing and advertising?

A: A chiropractic lawyer can offer insights into marketing and advertising practices that comply with state and federal regulations governing healthcare professionals. They can help you navigate legal boundaries and ensure that your marketing efforts are both effective and compliant.


Q: Do I need a chiropractic lawyer if I already have a general business lawyer?

A: While a general business lawyer can provide assistance in certain areas, a chiropractic lawyer specializes in the unique legal aspects of the chiropractic industry. They have in-depth knowledge of the specific laws and regulations that govern chiropractic practices, making their expertise invaluable in guiding you through the intricacies of the field.


Q: How can I find a reliable chiropractic lawyer?

A: You can start by asking for recommendations from colleagues within the chiropractic profession. Additionally, professional chiropractic associations may provide referrals to reputable chiropractic lawyers. Conducting online research and reading client reviews can also help you find a reliable lawyer who specializes in chiropractic law.

At Dental & Medical Counsel, PC, we understand navigating the legal process can be tricky. We believe every doctor deserves the best advice and service so doctors can do what they do best, treat their patients. We make their lives easier by providing expert guidance, so they can focus on their personal and professional aspirations.

Ali Website 1_edited (1)

About Ali Oromchian, Esq.

Ali Oromchian, JD, LL.M. is the founding attorney of the Dental & Medical Counsel, PC law firm and is renowned for his expertise in legal matters

In addition to practicing law for almost 20 years, Ali is also a renowned speaker, throughout North America, on topics such as practice transitions, employment law, negotiation strategies, estate planning, and more! Ali has helped hundreds of optometrists realize their professional goals and looks forward to aiding you in navigating the legal landscape. 


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