{ "source": "OBCE Guide to Practice & Policy Questions, adopted 22 October 2025", "count": 65, "policies": [ { "name": "Allergy and food sensitivity testing", "dc": "clear", "ca": "no", "detail": "In scope — ordering diagnostic testing and performing venipuncture are already within scope.", "caNote": "Not within CA scope.", "keywords": [ "blood", "draw", "venipuncture", "IgG" ] }, { "name": "Animal chiropractic", "dc": "cond", "ca": "no", "detail": "In scope only with an active Oregon licence, a completed post-graduate animal chiropractic program, and a current written referral from an actively licensed treating veterinarian.", "caNote": "Not within CA scope.", "keywords": [ "veterinary", "horse", "dog", "equine" ] }, { "name": "Applied Spinal Biomechanical Engineering (ASBE)", "dc": "cond", "ca": "no", "detail": "Permitted as investigational. You must comply with the investigational-status rules, obtain written informed consent, tell the patient it is investigational, and register your use of the technique with the Board.", "caNote": "Not within CA scope.", "keywords": [ "technique", "investigational", "ETSDP" ] }, { "name": "Auriculotherapy", "dc": "clear", "ca": "yes", "detail": "In scope — stimulation of ear points only. The skin must not be penetrated.", "caNote": "May apply treatment to ear points with appropriate training, under supervision and direction.", "keywords": [ "ear", "points", "auricular" ] }, { "name": "Biofeedback", "dc": "cond", "ca": "yes", "detail": "Permitted with devices holding FDA Premarket Approval or 510(k) clearance, for diagnostic or therapeutic purposes within chiropractic scope — e.g. neuromuscular evaluation, rehabilitation and re-education.", "caNote": "May operate a cleared device and record findings, but may not interpret or assess them.", "keywords": [ "neuromuscular", "sEMG", "device", "FDA" ] }, { "name": "Birth certificate", "dc": "cond", "ca": "no", "detail": "May sign only with an active licence, Board-approved specialty certification in obstetrics, and having attended and managed the birth.", "caNote": "Not permitted to sign.", "keywords": [ "vital", "statistics", "obstetrics", "delivery" ] }, { "name": "Breast thermography", "dc": "cond", "ca": "yes", "detail": "Permitted for physicians trained and certified as a clinical thermographer. Interpretation is limited to a licensed diagnosing provider holding thermography credentials. The Board's informed consent form is mandatory, and the patient must be referred for further imaging regardless of the result.", "caNote": "A CA trained as a clinical thermography technician may perform the imaging.", "keywords": [ "thermal", "imaging", "breast", "cancer", "mammography" ] }, { "name": "Certification of special competency in obstetrics", "dc": "cond", "ca": "no", "detail": "Requires 200 direct instruction hours, care of 50 women prenatally and postnatally, observation and assistance at 50 natural childbirths, the OBCE OB/GYN exam passed within the last five years, a Board-approved rotation plan, and 15 CE hours in obstetrics annually (a neonatal-resuscitation requirement was dropped from the rule in March 2024).", "caNote": "Not applicable to CAs.", "keywords": [ "childbirth", "natural", "delivery", "midwife", "pregnancy" ] }, { "name": "Chiropractic assistant continuing education course instruction", "dc": "admin", "ca": "same", "detail": "Who may teach CA continuing education: a health-related professional degree or licence, three years' Oregon CA experience, a relevant college-level credential, or a company that offers CE to healthcare providers.", "caNote": "Same standard.", "keywords": [ "teaching", "CE", "instructor" ] }, { "name": "Chiropractic assistant initial course instruction", "dc": "admin", "ca": "same", "detail": "Initial CA training must be delivered by an independently licensed provider whose scope covers the curriculum; practical hours must be taught by someone licensed to independently provide physiotherapy, electrotherapy and hydrotherapy. A chiropractic physician may deliver the practical hours as direct contact time.", "caNote": "Same standard.", "keywords": [ "12", "hour", "training", "didactic", "practical" ] }, { "name": "Clinical nutrition counseling", "dc": "clear", "ca": "yes", "detail": "Any active licensed chiropractic physician may provide clinical nutritional counselling.", "caNote": "May assist at the direction of the supervising physician.", "keywords": [ "diet", "nutrition", "supplements", "counselling" ] }, { "name": "Colonic therapy", "dc": "clear", "ca": "no", "detail": "Any active licensed chiropractic physician may perform colonic therapy.", "caNote": "Not within CA scope.", "keywords": [ "colon", "hydrotherapy", "irrigation", "enema" ] }, { "name": "Commercial motor vehicle (CMV) driver medical examinations", "dc": "cond", "ca": "partial", "detail": "Permitted for physicians who complete an FMCSA-accredited NRCME training course and pass the certification test. Oregon chiropractic CMEs may examine interstate and intrastate drivers; the exam must be performed in a state where the physician is licensed. A driver licensed in any state may be examined, so long as it happens in Oregon. Washington, Michigan and New York have concluded these exams are outside chiropractic scope in their states.", "caNote": "CAs cannot be Certified Medical Examiners but may perform portions of the exam that fall within CA scope.", "keywords": [ "DOT", "FMCSA", "NRCME", "truck", "driver", "physical" ] }, { "name": "Compensation for patient referrals", "dc": "no", "ca": "same", "detail": "Prohibited. Compensation beyond a token or de minimis gift over the course of a year is not allowed, and per-referral payment may be treated as an inappropriate inducement. Cross-referenced to the federal anti-kickback statute.", "caNote": "Same prohibition.", "keywords": [ "kickback", "fee", "splitting", "inducement", "stark" ] }, { "name": "Cosmetology and cosmetic procedures", "dc": "no", "ca": "no", "detail": "Outside the scope of practice.", "caNote": "Outside CA scope.", "keywords": [ "botox", "aesthetics", "filler", "beauty" ] }, { "name": "Cupping", "dc": "clear", "ca": "no", "detail": "Dry cupping is in scope — a cup-like device creating suction on the skin by heat or mechanical means for therapeutic purposes. Wet cupping is expressly outside scope.", "caNote": "Outside CA scope.", "keywords": [ "suction", "wet", "cupping", "hijama" ] }, { "name": "Darkfield microscopy and live cell analysis", "dc": "clear", "ca": "no", "detail": "Both are in scope for licensed chiropractic physicians; darkfield filtering on a standard microscope is used to analyse live blood.", "caNote": "Outside CA scope.", "keywords": [ "live", "blood", "microscope" ] }, { "name": "Death certificate", "dc": "cond", "ca": "no", "detail": "May sign where the physician treated the decedent within the 12 months preceding death, following current protocols and forms under ORS chapter 432.", "caNote": "Not permitted to sign.", "keywords": [ "vital", "statistics", "decedent", "mortality" ] }, { "name": "Device-assisted range of motion measurement and muscle testing", "dc": "clear", "ca": "partial", "detail": "Any active licensed chiropractic physician may perform device-assisted range of motion measurement or muscle testing.", "caNote": "May perform device-assisted ROM measurement but may not interpret findings, and may not perform manual or device-assisted muscle testing.", "keywords": [ "inclinometer", "dynamometer", "ROM" ] }, { "name": "Diagnostic imaging", "dc": "clear", "ca": "partial", "detail": "May perform imaging, order any clinically indicated modality, and interpret any modality for which appropriately trained. Every study needs a formal interpretation report; interpretation may be referred out, and a second-opinion referral does not create a doctor-patient relationship. All available images must be integrated into the evaluation and management plan.", "caNote": "May take radiographs with appropriate certification and a radiographic technician licence, under the physician's order. May not order or interpret.", "keywords": [ "x-ray", "MRI", "CT", "ultrasound", "radiology", "imaging" ] }, { "name": "Disabled person parking permits", "dc": "clear", "ca": "no", "detail": "May qualify an established patient for a disabled person parking permit.", "caNote": "Not permitted.", "keywords": [ "placard", "handicap", "DMV", "parking" ] }, { "name": "Durable medical equipment", "dc": "clear", "ca": "partial", "detail": "May recommend, order or provide durable medical equipment.", "caNote": "May not recommend or order DME, but may instruct on its use if properly trained and supervised.", "keywords": [ "DME", "brace", "orthotic", "support", "TENS", "unit" ] }, { "name": "Electrodiagnostic testing", "dc": "cond", "ca": "partial", "detail": "Performing requires appropriate training and certification. Ordering any clinically indicated test is unrestricted. Interpretation requires appropriate training and a formal report; results must be integrated into the management plan.", "caNote": "May perform testing with appropriate certification and training under the physician's order. May not order or interpret.", "keywords": [ "NCV", "nerve", "conduction", "EMG", "electrodiagnostic" ] }, { "name": "Electroencephalogram (EEG) test", "dc": "cond", "ca": "no", "detail": "Permitted for physicians appropriately trained in EEG interpretation who have supplied proof of that training to the Board. Screening or analysis for a psychological or psychiatric component is outside scope and must be referred out.", "caNote": "Not permitted to perform or interpret.", "keywords": [ "brain", "wave", "neurology", "qEEG" ] }, { "name": "Electronic health records and signatures", "dc": "admin", "ca": "same", "detail": "Documentation must be completed within 72 hours of the visit and electronically signed within 30 days. Documentation is required for every patient, including family members, spouses and employees.", "caNote": "Same requirements.", "keywords": [ "SOAP", "notes", "charting", "signature", "EHR", "72", "hours" ] }, { "name": "Electrotherapy devices and treatments", "dc": "clear", "ca": "yes", "detail": "In scope as 'physiotherapy' under the statute. Rectal electrotherapy requires additional training and certification under OAR 811-015-0030.", "caNote": "May use electrotherapy with appropriate training under supervision and direction. May not order it, and may not perform intra-orificial electrotherapy.", "keywords": [ "TENS", "IFC", "russian", "stim", "estim" ] }, { "name": "Emergency first aid and medicine", "dc": "cond", "ca": "yes", "detail": "In scope with proper training: AED, basic first aid, CPR, emergency oxygen, EpiPen and naloxone. This covers emergency use only — not access or prescription rights. A physician may use an EpiPen but may not prescribe one.", "caNote": "Same as for physicians.", "keywords": [ "CPR", "AED", "epipen", "naloxone", "narcan", "anaphylaxis", "oxygen" ] }, { "name": "Emotional support animals", "dc": "no", "ca": "no", "detail": "Outside scope. Chiropractic physicians are not licensed mental health professionals and cannot diagnose the conditions that qualify a person for an ESA, so they cannot write ESA support letters.", "caNote": "Not permitted.", "keywords": [ "ESA", "service", "animal", "letter", "housing" ] }, { "name": "Extracorporeal shockwave therapy (EST)", "dc": "cond", "ca": "yes", "detail": "Permitted for properly trained physicians to treat conditions within scope.", "caNote": "May perform with appropriate training under supervision and direction.", "keywords": [ "shockwave", "acoustic", "ESWT", "radial" ] }, { "name": "FAA BasicMed medical examination", "dc": "cond", "ca": "no", "detail": "Oregon chiropractic physicians are state-licensed physicians under ORS 684.010(3) and the exam is within their training and scope. The FAA separately requires the examiner to pass Certified Medical Examiner training and appear on the national registry; the Board takes no position on FAA rules.", "caNote": "Not within CA scope.", "keywords": [ "pilot", "aviation", "flight", "physical", "basicmed" ] }, { "name": "Functional chiropractic neurology", "dc": "clear", "ca": "no", "detail": "Declared 'standard' on ETSDP committee recommendation and approved by Board majority vote, effective April 2025.", "caNote": "Outside CA scope.", "keywords": [ "neurology", "carrick", "functional", "brain" ] }, { "name": "Gynecological / genitourinary examination and diagnosis", "dc": "clear", "ca": "no", "detail": "In scope, including Pap smear, STI testing, routine screening examinations and GU examinations. Does not cover obstetrics or proctology, which require certification.", "caNote": "Outside CA scope.", "keywords": [ "pap", "smear", "pelvic", "STI", "genitourinary", "women's", "health" ] }, { "name": "Hemp and marijuana derived products", "dc": "no", "ca": "same", "detail": "Because Oregon chiropractic physicians have no prescription rights in statute, there is no authority to recommend or prescribe marijuana, CBD, hemp or derived products. Selling topical hemp or marijuana products means complying with OHA, OLCC and ODA rules, at the licensee's own risk; the FDA position is that CBD may not be marketed as a dietary supplement.", "caNote": "Same position.", "keywords": [ "CBD", "cannabis", "THC", "marijuana", "hemp" ] }, { "name": "Hyperbaric oxygen therapy and emergency oxygen administration", "dc": "cond", "ca": "yes", "detail": "Emergency oxygen may be administered with training equivalent to the American Red Cross course. Oxygen concentrated below 100% needs no prescription and hyperbaric use is not prohibited. The Board of Pharmacy treats 100% oxygen as a prescription drug, so 100% oxygen is outside scope except in the emergency situation described.", "caNote": "May administer emergency oxygen with the training above, and may provide hyperbaric oxygen therapy, under supervision and direction.", "keywords": [ "HBOT", "oxygen", "chamber", "hyperbaric" ] }, { "name": "Independent medical examination (IME)", "dc": "clear", "ca": "partial", "detail": "Permitted. A limited doctor-patient relationship exists regardless of whether the physician is examining or treating. The report must be made available to the patient on written request, and on a panel exam the chiropractic examiner should review other members' dictated opinions and supplement with an independent chiropractic opinion where consensus fails.", "caNote": "May participate consistent with their certification; the examination must be conducted by a physician or contracted panel professional.", "keywords": [ "IME", "insurance", "examination", "forensic" ] }, { "name": "Instrument assisted soft tissue mobilization (IASTM)", "dc": "clear", "ca": "yes", "detail": "In scope.", "caNote": "May perform with documented hands-on training in the modality, under direct supervision.", "keywords": [ "graston", "IASTM", "scraping", "gua", "sha", "tool" ] }, { "name": "Iontophoresis and phonophoresis", "dc": "clear", "ca": "yes", "detail": "In scope using an OTC topical substance with ultrasound or low-voltage galvanic current. OTC salicylates and lidocaine are permitted, as is dexamethasone in prepackaged dosages — chart notes must record who performed it, the use of dexamethasone, and the specific administration order.", "caNote": "May perform under the physician's supervision as physiotherapy and electrotherapy, including the same substances.", "keywords": [ "dexamethasone", "ultrasound", "galvanic", "lidocaine" ] }, { "name": "Laboratory studies", "dc": "clear", "ca": "partial", "detail": "May order any clinically indicated laboratory testing. Performing testing in-house requires a current CLIA facility certificate or waiver. Every test needs an interpretation report; interpretation requires appropriate training and may be referred out; results must be integrated into the management plan.", "caNote": "May perform lab procedures with appropriate certification and training under the physician's order. May not order or interpret.", "keywords": [ "CLIA", "blood", "urine", "labs", "panel" ] }, { "name": "Laser therapy", "dc": "clear", "ca": "yes", "detail": "Class I–III laser therapy and non-surgical Class IV therapeutic laser are in scope. Class III is under 0.5 W and delivered in contact with skin; therapeutic Class IV runs 0.5–7.5 W delivered without skin contact and is not to be confused with Class IV surgical lasers.", "caNote": "May use Class I–III and non-surgical Class IV lasers with adequate training, under direct supervision.", "keywords": [ "cold", "laser", "LLLT", "class", "4", "photobiomodulation" ] }, { "name": "Licensees on active military duty", "dc": "admin", "ca": "same", "detail": "Licensees deployed for one month or longer may defer renewal fees and CE for the duration. Active-duty licensees who are not deployed must still pay and complete CE. After 13 months of non-payment the licence goes dormant.", "caNote": "Same policy.", "keywords": [ "deployment", "military", "reserve" ] }, { "name": "Lifestyle management", "dc": "clear", "ca": "yes", "detail": "In scope with an established patient: sleep hygiene, stress management, meditation, diet and exercise education, health risk reduction, drug and alcohol cessation, social drivers of health, injury prevention, personal safety and weight management. It does not include counselling for psychological or psychiatric disorders, diagnosing psychological conditions, or prescription medication management. Complex pathology may require communication with the patient's other providers.", "caNote": "May assist under the physician's direction.", "keywords": [ "wellness", "coaching", "sleep", "stress", "weight", "exercise" ] }, { "name": "Local anesthetics: topical and injectable (lidocaine)", "dc": "cond", "ca": "no", "detail": "May purchase, possess, prescribe or use topical OTC lidocaine 2–5% in liquid, gel or patch on epidermis and mucous membranes. Injectable lidocaine is permitted only in connection with minor surgery under ORS 684.010(5), at 1% without epinephrine, 1% with 1:100,000 epinephrine for highly vascular areas, or 2% without epinephrine for patients with higher tolerance.", "caNote": "Outside CA scope entirely.", "keywords": [ "lidocaine", "xylocaine", "epinephrine", "injection", "anesthetic" ] }, { "name": "Magnet therapy", "dc": "clear", "ca": "yes", "detail": "In scope — static magnets placed on the body, whether taped, in belts, wraps, bracelets, insoles, braces or mattress pads.", "caNote": "Within CA scope.", "keywords": [ "magnets", "static", "permanent", "magnet" ] }, { "name": "Manipulation under anesthesia (MUA)", "dc": "cond", "ca": "no", "detail": "Permitted with an active Oregon licence, a completed post-graduate training program, and privileges at an appropriate facility.", "caNote": "Not within CA scope.", "keywords": [ "MUA", "anesthesia", "sedation", "hospital", "privileges" ] }, { "name": "Mechanical traction", "dc": "clear", "ca": "yes", "detail": "In scope as physiotherapy.", "caNote": "May perform with appropriate training under supervision and direction, but may not order it.", "keywords": [ "decompression", "traction", "table", "axial" ] }, { "name": "Minor surgery procedures and devices", "dc": "cond", "ca": "no", "detail": "For physicians certified in minor surgery, permitted procedures and devices include but are not limited to electrolysis, the EPI Touch Alex hair removal device, fissurectomies, and injections relevant to minor surgical procedures — which do not include antibiotics, steroids or Botox.", "caNote": "Not within CA scope.", "keywords": [ "electrolysis", "fissurectomy", "lesion", "excision", "hair", "removal" ] }, { "name": "Myofascial therapy and massage", "dc": "clear", "ca": "yes", "detail": "In scope; physiotherapy as defined by statute encompasses myofascial therapy and massage.", "caNote": "Permitted with active certification, adequate training and proven competency as determined by the supervising physician, performed at their direction and under direct supervision.", "keywords": [ "massage", "soft", "tissue", "trigger", "point", "myofascial", "release" ] }, { "name": "Nasal specific procedures", "dc": "clear", "ca": "no", "detail": "Any active licensed chiropractic physician may perform nasal specific procedures.", "caNote": "Not within CA scope.", "keywords": [ "balloon", "endonasal", "nasal", "cranial" ] }, { "name": "Needle electromyography (EMG)", "dc": "cond", "ca": "no", "detail": "Diagnostic needle EMG is allowed on an individual basis, reviewed by the Board case by case depending on undergraduate, graduate and post-graduate study, training and work history.", "caNote": "Not within CA scope.", "keywords": [ "needle", "EMG", "electromyography", "diagnostic" ] }, { "name": "Network chiropractic", "dc": "clear", "ca": "no", "detail": "Declared 'standard' on ETSDP committee recommendation and approved by Board majority vote, effective April 2025.", "caNote": "Outside CA scope.", "keywords": [ "network", "spinal", "analysis", "NSA", "technique" ] }, { "name": "Out of scope list", "dc": "no", "ca": "same", "detail": "Beyond the statutory limits, the Board lists these as outside scope: acupuncture; acupuncture as anaesthesia; CBD and hemp products; HCG products; hypnotherapy; injections into joints, trigger points or for nutrition; oxygen except in emergencies; prescription-strength ethyl chloride; psychological diagnosis or management under the DSM; recommending that a patient stop or alter a prescription; the Toftness technique; and vaccinations other than during a declared state of emergency or as authorised by the Oregon Health Authority. The Board states the list is regularly updated.", "caNote": "Same list applies.", "keywords": [ "prohibited", "banned", "acupuncture", "HCG", "hypnotherapy", "injections", "vaccination", "toftness", "IV", "dry needling", "needling", "intravenous", "IV therapy", "trigger point injection", "prolotherapy" ] }, { "name": "Physical therapy assistant licensing as an Oregon certified chiropractic assistant", "dc": "admin", "ca": "same", "detail": "A CA applicant who completed PTA education may submit an official transcript, or proof of five years' PTA employment, in lieu of the 12 hours of initial CA training. They must still apply, pass the CA exam and complete fingerprinting. Effective April 2025.", "caNote": "This is the CA pathway.", "keywords": [ "PTA", "physical", "therapist", "assistant", "transcript" ] }, { "name": "Pre-participation physicals", "dc": "cond", "ca": "partial", "detail": "May perform and sign with an active licence and successfully completed clinical training in detecting cardiopulmonary diseases and defects. Does not cover CDL or FAA examinations, which have their own policies.", "caNote": "May conduct only those portions of the examination that fall within CA scope.", "keywords": [ "sports", "physical", "school", "athletic", "clearance" ] }, { "name": "Prescription medication modification", "dc": "no", "ca": "no", "detail": "Recommending that a patient alter or discontinue a prescription medication is outside scope. Referring to a qualified licensed provider for consideration of starting, stopping or changing a dosage is within scope.", "caNote": "May not refer, recommend, alter or discontinue prescription medications.", "keywords": [ "deprescribing", "medication", "taper", "drugs" ] }, { "name": "Primary care services and portal of entry", "dc": "clear", "ca": "no", "detail": "Oregon chiropractic physicians are portal-of-entry providers; no referral is needed to seek care. They may independently take histories and perform examinations, order and perform diagnostic tests, build a differential, formulate diagnoses, treat acute and chronic conditions within scope, order preventive and screening services, and act as attending physician, refer, coordinate and co-manage. Insurer coverage limits are outside the Board's jurisdiction.", "caNote": "CAs are not attending physicians, primary care providers or portal-of-entry providers; they support the physician within OAR 811-010-0110.", "keywords": [ "primary", "care", "attending", "physician", "portal", "of", "entry", "direct", "access" ] }, { "name": "Radiographic mensuration analysis", "dc": "clear", "ca": "no", "detail": "Permitted whether or not the physician is DACBR certified — Oregon chiropractic physicians are trained to make these measurements, and method is left to clinical judgement.", "caNote": "Outside CA scope.", "keywords": [ "line", "drawing", "gonstead", "mensuration", "measurement", "DACBR" ] }, { "name": "Referral to other providers or facilities", "dc": "clear", "ca": "no", "detail": "Physicians are authorised to provide a timely referral for evaluation or case management to appropriate licensed providers or facilities, based on individual patient needs and clinical justification.", "caNote": "May not make referrals except in emergency medical circumstances.", "keywords": [ "refer", "specialist", "emergency", "co-management" ] }, { "name": "Spinal (postural) screening", "dc": "clear", "ca": "partial", "detail": "May perform, order and interpret. A screening is a non-diagnostic exam with no treatment, but it forms a doctor-patient relationship and is subject to the standard of care, with the same documentation and urgent-referral responsibilities.", "caNote": "May perform components when ordered and supervised: preliminary non-diagnostic observation of static posture, observation for urgent or emergent referral indicators, and documentation. May not order or interpret, and may not perform imaging, labs, special tests or any physical examination component beyond vitals, height and weight.", "keywords": [ "posture", "screening", "health", "fair", "scoliosis", "screening", "event" ] }, { "name": "Substances and supplements", "dc": "cond", "ca": "same", "detail": "Within scope: aloe vera gel, non-prescription botanicals, clinical nutrition, herbs, nutritional supplements, OTC substances including homeopathics and non-prescription drugs, vitamins, and fluori-methane as a topical anaesthetic in minor surgery only. Colloidal silver may be used topically as taught in chiropractic programs, and multi-mineral formulations with small doses below EPA limits are allowed, but a licensee may not make their own colloidal silver for ingestion or retail. Outside scope: ethyl chloride, HCG, intradermal injection, and ivermectin. The list is neither exhaustive nor static, and pyramid schemes are illegal under ORS 646.608.", "caNote": "Refer to the specific substance for direction.", "keywords": [ "supplements", "vitamins", "colloidal", "silver", "ivermectin", "HCG", "homeopathic", "herbs" ] }, { "name": "Telehealth", "dc": "clear", "ca": "same", "detail": "OAR 811-015-0066 permits telehealth for both new and existing patients, including initial consultations and examinations. The Board applies identical quality and practice standards regardless of delivery method. The policy sets an 11-step documentation sequence: visit start time, reason for visit, primary complaints, suitability check, histories, visual evaluation (self-reported vitals, nutrition, posture, range of motion, contraindications), provisional diagnosis, report of findings, PARQ and consent, clinical recommendations, and end time.", "caNote": "Not separately addressed for CAs.", "keywords": [ "telemedicine", "remote", "video", "virtual", "visit" ] }, { "name": "Termination of patient care", "dc": "admin", "ca": "same", "detail": "Care may be terminated for any reason not barred by law. The patient must be notified verbally or in writing within a reasonable time, the reason must be documented in the chart, and referral to other providers made where necessary. The patient may access or obtain a copy of their record regardless of any balance owed.", "caNote": "Within CA scope at the direction of the supervising physician.", "keywords": [ "discharge", "dismissal", "abandonment", "records", "balance" ] }, { "name": "Therapeutic taping", "dc": "clear", "ca": "yes", "detail": "In scope. Physicians must be knowledgeable about the indications for the technique and its application. Effective April 2025.", "caNote": "May perform with adequate training.", "keywords": [ "kinesio", "tape", "rocktape", "KT", "taping" ] }, { "name": "Topical salicylates", "dc": "clear", "ca": "yes", "detail": "May purchase, possess, prescribe or use OTC topical trolamine salicylates in liquid, gel or patch form for pain control, and in any OTC combination of legal OTC products.", "caNote": "May purchase, possess and use them; may not prescribe them.", "keywords": [ "biofreeze", "salicylate", "topical", "analgesic", "cream" ] }, { "name": "Treatment of family members", "dc": "clear", "ca": "partial", "detail": "In scope. Treating a family member establishes a physician-patient relationship requiring chart notes and records. The Board notes there may be liability concerns and suggests independent legal counsel.", "caNote": "Outside CA scope unless under the direct supervision of a licensed chiropractic physician.", "keywords": [ "family", "spouse", "children", "employees", "treating", "relatives" ] }, { "name": "Additional acronyms for degree, diplomate status or certification", "dc": "admin", "ca": "same", "detail": "A licensee who has completed education or training resulting in diplomate status, a certification or a degree may use the associated initials, subject to the advertising rule, the Doctors' Title Act (ORS 676.110), and the prohibition on untruthful, improper, misleading or deceptive claims.", "caNote": "Same standard applies to certified assistants.", "keywords": [ "DACBR", "diplomate", "credentials", "initials", "title", "advertising" ] } ] }