Request A Certificate by Regulatory Board

Please read the directions below before proceeding.

Bureau of Health Professions Licensure

The Details of Request A Certificate by Regulatory Board

What you need for Request A Certificate by Regulatory Board

In Massachusetts, businesses providing chiropractic services must be registered through the Secretary of State's office. You may reach them online or at 617-727-9640. As part of your business registration, the Secretary of State's office will require a Certificate by Regulatory Board form to be signed by the Board of Registration of Chiropractors. ;Please download either the professional corporation form (PDF) or the LLC form (PDF) from the Secretary of State’s website.

Please fill out the form, listing only Massachusetts-licensed chiropractors, and their license numbers. There is a $15 verification fee for each person you include on the form. Do not sign the form.

Upon receipt of the form, the Board will verify whether the Massachusetts-issued license(s) is current, at which time we will sign the form, put the Board's seal on it, and return it to the *MAILING* address you provide. If you have questions about the Certificate by Regulatory Board, please contact Board staff at  617-624-6150 or

To submit the Certificate for the Board’s signature, please refer to the instructions detailed below.

How to request Request A Certificate by Regulatory Board

1. Go to the Health Professions Licensing Portal  and create an account, or log into your existing account. If this is your first time using this new portal, please visit Health Professions Licensing System User Guide.

2. Follow system prompts. A user manual is available for here if needed. 

Downloads for Request A Certificate by Regulatory Board

Contact for Request A Certificate by Regulatory Board

Board of Registration of Chiropractors
250 Washington Street, Boston, MA 02108

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