Certification Program

Chiropractic Assistant Certification (CCCA) Online | CCEDseminars

Certified Chiropractic Clinical Assistant (CCCA) program emblem — clinical training, patient care, exam readiness — CCEDseminars certification
Professional Certification · 24 Hours + 300 Clinical Hours + FCLB Exam

Certified Chiropractic Clinical Assistant (CCCA)

24 online hours, four clinical domains, 300 supervised practice hours, and an FCLB-proctored certification exam — the complete pathway for chiropractic clinical assistants.

  • Coursework: CA 101–110 — complete on any schedule
  • Four domains: clinical foundations, therapeutic modalities, office excellence, exam readiness
  • 300 supervised clinical practice hours (CCEDseminars assists with placement)
  • 100-question online proctored exam through FCLB
  • $18/hr · 10% off 6–9 hours · 20% off 10+ hours · automatic at checkout
See All CCCA Courses →

Program At a Glance

FormatOnline coursework + supervised clinical hoursAudienceChiropractic assistants & aspiring CAs
Coursework24 online hours (CA 101–110)Clinical Hours300 supervised practice hours
Exam100-question proctored exam (FCLB)RecognitionPACE / FCLB recognized
Eligibility18+ years, HS diploma or equivalentCredential TypeProfessional certification (CCCA)
Pricing$18/hr · 10% off 6–9 hours · 20% off 10+ hours · automatic at checkout
Required TextChiropractic Therapy Assistant: A Clinical Resource Guide — available through major retailers

How the CCCA Program Works

1
Register & enroll

Create your free CCEDseminars account. Select courses from CA 101–110. Bundling discounts apply automatically at checkout.

2
Complete 24 online hours

Finish each course, pass the quiz, print your per-course certificate. Self-paced — complete on any schedule.

3
Log 300 clinical hours

Complete 300 supervised practice hours in a chiropractic clinic. CCEDseminars assists with placement if needed.

4
Pass the FCLB exam

Take the 100-question online proctored exam through the FCLB. Upon passing, receive your CCCA credential.

Approval & Recognition
Texas Chiropractic College logo
FCLB PACE Provider 34015544 approval logo

CCEDseminars is recognized as PACE Provider #34015544. CCCA coursework is PACE/FCLB recognized. The CCCA certification exam is administered by the Federation of Chiropractic Licensing Boards (FCLB).

Save more when you stack hours. Online courses are $18/hr — get 10% off when you purchase 6–9 hours, or 20% off at 10+ hours. Discounts apply automatically at checkout.

The Four Clinical Domains of CCCA

Four Clinical Domains of CCCA — Tap to Expand

Each domain builds the clinical knowledge, patient-care skills, and professional competencies a chiropractic assistant needs to function safely and effectively in a busy clinic. Tap any domain to expand.

Domain 1 — Clinical Foundations

The bedrock of safe patient care. Domain 1 covers the knowledge every CA must have before touching a patient or operating clinical equipment.

  • Patient safety protocols and emergency response procedures
  • Infection control, sterilization, and OSHA compliance
  • Vital signs assessment and patient intake workflows
Domain 2 — Therapeutic Modalities

Understanding the modalities a CA may apply under direct supervision — and knowing the contraindications that define the boundary of assistant scope.

  • Physiotherapy modality operation: electrical stimulation, ultrasound, cryotherapy, thermotherapy
  • Contraindications and safety screening for each modality
  • Assistant scope of practice boundaries — what a CA can and cannot perform
Domain 3 — Office Excellence

The operational backbone of the chiropractic office. Domain 3 builds the administrative and communication skills that make a CA indispensable to clinic flow.

  • Clinical documentation: chart preparation, SOAP note support, and records management
  • Insurance coding fundamentals and billing workflow support
  • Patient communication: scheduling, follow-up, and professional phone/email protocols
Domain 4 — Exam Readiness

Targeted preparation for the 100-question FCLB-proctored certification exam. Domain 4 integrates clinical, modality, and office-management knowledge into a comprehensive review framework.

  • Comprehensive study planning aligned with FCLB exam content outline
  • Practice questions and self-assessment across all domains
  • Test-taking strategies and exam-day logistics

Required textbook. Chiropractic Therapy Assistant: A Clinical Resource Guide is required for this program. Available through major retailers.

Eligibility. Applicants must be 18+ years of age with a high school diploma or equivalent. Verify specific assistant scope regulations with your state board of chiropractic examiners before enrolling.

Check state regulations →

Frequently Asked Questions

Frequently Asked Questions — Tap to Expand

Tap any question to expand.

What is the CCCA certification?
The Certified Chiropractic Clinical Assistant (CCCA) is a professional certification for chiropractic assistants. It requires 24 hours of online coursework, 300 supervised clinical practice hours, and passing a 100-question proctored exam administered by the FCLB (Federation of Chiropractic Licensing Boards).
Who is eligible for the CCCA program?
Applicants must be 18 years of age or older with a high school diploma or equivalent. The program is designed for current chiropractic assistants looking to earn a professional credential and for aspiring CAs entering the field. Verify assistant scope regulations with your state board before enrolling.
What are the 300 supervised clinical hours?
In addition to the 24 hours of online coursework, CCCA candidates must complete 300 hours of supervised practice in a chiropractic clinic. These hours provide hands-on experience with patient care, modality application, and office operations under direct supervision. CCEDseminars assists with placement if needed.
How does the FCLB exam work?
The certification exam is a 100-question online proctored test administered by the Federation of Chiropractic Licensing Boards (FCLB). It covers all four clinical domains of the CCCA curriculum. The exam is taken online after completing the coursework and clinical hours. Visit fclb.org for exam registration and scheduling.
How much does the CCCA program cost?
Online coursework is $18/hr. Get 10% off when you purchase 6–9 hours, or 20% off at 10+ hours. Discounts apply automatically at checkout. The full 24-hour program at 20% off comes to $345.60 — an $86.40 savings off the $432 base tuition. The FCLB exam fee is separate and paid directly to FCLB. The required textbook is purchased separately through major retailers.

Related Resources

Related CCED Resources — Tap to Expand
Three-Fact Echo
  • 24 online hours + 300 clinical hours + FCLB exam · CA 101–110 · PACE/FCLB recognized
  • Complete pathway · coursework, supervised practice, and certification exam in one program
  • $18/hr · 10% off 6–9 hours · 20% off 10+ hours · automatic at checkout

Reviewed by Monte Horne, DC · Last reviewed: June 30, 2026 · PACE Provider #34015544 · Reviewed monthly.