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Missouri Formal Hours · All 24 · Three of Five Categories · One Purchase
| Board rule: | 48 hours biennially by February 28 of odd years · at least 24 must be formal — Board-approved programs from no fewer than 2 of 5 categories · formal hours may be earned online with Board approval · 20 CSR 2070-2.080 |
| Inside: | 12 courses · 24 CE hours · three formal categories: diagnostic imaging (DACBR-taught), record keeping/SOAP notes, and principles & techniques — your entire formal requirement, with a category to spare |
| Faculty: | Sandra Norton, DC, DACBR · Wesley Duval, DC, DACBR · Steve Yeomans, DC, FACO · Donald Ozello, DC, CCN, CCSM |
| Recognition: | FCLB PACE-approved — accepted by the Missouri State Board of Chiropractic Examiners · imaging courses taught by Diplomates of the American Chiropractic Board of Radiology as 20 CSR 2070-2.081(5) requires · instant certificates |
| Tuition: | $480 base → $384 with the automatic 20% discount ($96 savings) · no promo codes |
Add to Cart — Missouri Formal 24 ($384)
The 24 hours Missouri makes you buy, in one purchase. The other 24 — the general hours — can come from reading, meetings, and coursework alike.

PACE Provider #34015544 · Board-approved for Missouri · Instant per-course certificates for your two-cycle audit file
Missouri's rule has a shape most doctors miss: only half the 48 hours has to be purchased. Twenty-four hours must be "formal" — Board-approved programs drawn from at least two of five named categories — while the other twenty-four are "general," and Missouri defines general so broadly that reading journals, attending association meetings, and writing count. So the bundle a Missouri DC actually needs is the formal 24, done properly. That's this one: three of the five categories, not two, so a category question on audit has an answer before it's asked.
The imaging track is taught entirely by DACBRs — Missouri's companion rule (20 CSR 2070-2.081(5)) requires diagnostic-imaging CE to be taught by a Diplomate of the American Chiropractic Board of Radiology or a medical radiologist, and Norton and Duval both are. The record-keeping track is Yeomans' Bullet Proof Documentation series, built for the SOAP-notes category Missouri names outright. The techniques track is Ozello's regional adjusting series. Twelve courses, four faculty, one biennium's formal requirement, due February 28, 2027.
| Board requires | This bundle delivers | Status |
| At least 24 formal hours — Board-approved programs, seminars, or workshops (§3) | 24 hours — 12 PACE-approved courses | Met exactly |
| Formal hours from no fewer than 2 of 5 categories (§3(A)) | 3 categories — diagnostic imaging (8), record keeping/SOAP (8), principles & techniques (8) | Met with margin |
| Formal hours may be earned via the Internet with Board approval (§4; 2.081(2)(B)) | 100% online, self-paced; PACE Provider #34015544 | Met |
| Diagnostic-imaging CE taught by a DACBR or medical radiologist (2.081(5)) | All four imaging courses taught by Norton DACBR or Duval DACBR | Met |
| Retain records for previous and current cycles; produce within 60 days on audit (§11) | Instant per-course certificates, permanently in your account | Met |
| Remaining 24 "general" hours (§5) | Not included — earn via any of the six general sources, or take them as coursework in the Missouri 48-Hour Full Biennium Bundle | Your choice |
Certified in Meridian Therapy/acupressure/acupuncture (MTAA)? Rule 2.031(7) requires 12 of your 24 formal hours to be meridian therapy. See the Missouri MTAA 12-Hour Pack, or swap the techniques track for meridian-therapy courses.
• Radiology 205: Cervical Trauma · 2 hrs · Sandra Norton, DC, DACBR
• Radiology 206: Thoracic & Lumbar Trauma · 2 hrs · Sandra Norton, DC, DACBR
• Radiology 213: Seronegative Spondyloarthropathies · 2 hrs · Wesley Duval, DC, DACBR
• Radiology 216: Primary Bone Forming Tumors (Benign and Aggressive) · 2 hrs · Wesley Duval, DC, DACBR
• Bullet Proof Documentation 201: Intake & History · 2 hrs · Steve Yeomans, DC, FACO
• Bullet Proof Documentation 205: Documenting Treatment · 2 hrs · Steve Yeomans, DC, FACO
• Bullet Proof Documentation 206: Documenting the Treatment Plan · 2 hrs · Steve Yeomans, DC, FACO
• Bullet Proof Documentation 207: The Daily Treatment Notes · 2 hrs · Steve Yeomans, DC, FACO
• Adjusting & Manual Therapy 203: Shoulder Treatment Techniques · 2 hrs · Donald Ozello, DC, CCN, CCSM
• Adjusting & Manual Therapy 206: Hip, Thigh & Knee · 2 hrs · Donald Ozello, DC, CCN, CCSM
• Adjusting & Manual Therapy 208: Cervical Spine & TMJ · 2 hrs · Donald Ozello, DC, CCN, CCSM
• Adjusting & Manual Therapy 209: Lumbar & Pelvic Techniques · 2 hrs · Donald Ozello, DC, CCN, CCSM
Prefer to swap a course? Every course is sold individually at $20/hr — browse the Missouri-approved course list; keep at least two of the five formal categories represented. Any 10+ hours earns the same 20% automatically.
• Trauma radiography of the entire spine, and the radiographic patterns of inflammatory arthropathy and primary bone tumors — from two board-certified radiologists.
• Audit-proof documentation from intake through daily notes: the intake history, treatment documentation, the written treatment plan, and the SOAP note that defends the claim.
• Regional adjusting and manual-therapy technique for the shoulder, hip and knee, cervical spine and TMJ, and lumbopelvic region.
Sandra Norton, DC, DACBR — Diplomate of the American Chiropractic Board of Radiology, Professor at Parker University — cervical, thoracic, and lumbar trauma radiology.
Wesley Duval, DC, DACBR — Diplomate of the American Chiropractic Board of Radiology — seronegative spondyloarthropathies and primary bone-forming tumors.
Steve Yeomans, DC, FACO — Fellow of the Academy of Chiropractic Orthopedists; author of the Bullet Proof Documentation series.
Donald Ozello, DC, CCN, CCSM — the regional Adjusting & Manual Therapy series. Full bios: CCEDseminars faculty page.
Under §5 of the rule, general hours may come from Board-approved programs, chiropractic programs not Board-approved for formal credit, attending professional meetings at any level, reading scholarly material in print or online, writing for scholarly publications, or teaching an approved course. Document what you do — the Board audits two cycles back and gives you 60 days to produce it. If you'd rather take the general 24 as coursework with certificates, the Missouri 48-Hour Full Biennium Bundle includes this entire formal set plus 24 clinical hours. Full requirements: Missouri chiropractic CE guide.
Twenty-four hours at $20 per credit hour = $480 base tuition. Every bundle of 10+ hours earns the automatic 20% multi-hour discount at checkout — $384 total, a $96 savings. No promo codes. Building your own path? Same rate per course, 10% off at 6–9 hours, 20% off at 10+, and the certificates are identical either way.
Yes. Missouri requires at least 24 of the 48 biennial hours to be formal — Board-approved programs from no fewer than two of five categories. This bundle delivers 24 PACE-approved hours across three of those categories: diagnostic imaging, record keeping/SOAP notes, and principles and techniques. Confirm your personal obligations with the Missouri State Board of Chiropractic Examiners.
Because 20 CSR 2070-2.081(5) requires continuing education addressing diagnostic imaging to be taught by a Diplomate of the American Chiropractic Board of Radiology or a medical radiologist. All four imaging courses in this bundle are taught by DACBRs — Sandra Norton and Wesley Duval — so the imaging category counts as formal without question.
Yes, unless you qualify for the senior waiver (65 or older and licensed in Missouri 35+ years, in which case only the 24 formal are required). General hours can come from approved or unapproved chiropractic programs, professional meetings, reading scholarly material, writing, or teaching — or from coursework, which is what the Missouri 48-Hour Full Biennium Bundle provides.
Yes. Section 4 of the rule states that formal continuing-education hours may be obtained via the Internet pursuant to 20 CSR 2070-2.081(2)(B) and Board approval, and Missouri sets no ceiling on online hours. Older guides claiming Missouri allows no online CE reflect a prior version of the rule. The Board accepts PACE-approved courses; CCEDseminars is FCLB PACE Provider #34015544.
$480 base tuition ($20 per credit hour x 24), and the automatic 20% multi-hour discount at checkout brings it to $384 — a $96 savings, no promo codes. Missouri's cycle closes February 28 of odd-numbered years; complete your hours before your license expiration date, and retain certificates for the previous and current cycles.
State Approval and Licensing Reminder
This page is a plain-language summary and is not a substitute for the Board's own guidance. Requirements reflect 20 CSR 2070-2.080 and 2070-2.081 as reviewed on the date below; always confirm your personal obligations with the Missouri State Board of Chiropractic Examiners.
CCEDseminars · PACE Provider #34015544 · Reviewed by Monte Horne, DC · Last updated August 14, 2026 (CT)
Missouri,