
| Total hours | 12 hours every one-year registration period |
| Registration period | April 1 – March 31 — not a calendar year |
| Permitted subjects | Clinical proficiency · philosophy & ethics · Massachusetts jurisprudence · human & biological sciences |
| Excluded | Administrative or economic aspects of practice do not count |
| Online | All 12 hours may be earned online |
| PACE | Accepted by the Board |
| Records | Keep proof 3 years from the date the course was taken |
| Regulator | Massachusetts Board of Registration of Chiropractors (233 CMR 3.00) |
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As a condition of renewal, each registered Massachusetts chiropractor must complete at least 12 hours of continuing education during each one-year registration period — which runs April 1 through March 31 — in courses approved by the Board under 233 CMR 3.03. Massachusetts is unusually specific about subject matter: qualifying coursework must be devoted to clinical proficiency, philosophy and ethics, Massachusetts jurisprudence, or the human and biological sciences, and coursework on the administrative or economic aspects of practice does not count. All 12 hours may be earned online, and the Board accepts FCLB PACE. Failure to complete the requirement is itself grounds for disciplinary action.
Always confirm your personal obligations with the Massachusetts Board of Registration of Chiropractors. The requirements below reflect 233 CMR 3.00 and the Board's published policy guidelines.

FCLB PACE Provider #34015544 — PACE accepted in Massachusetts · Texas Chiropractic College affiliation · All 12 hours available online · Instant certificates
As a condition for renewal of registration, each registered chiropractor must complete at least 12 hours of continuing education during each one-year registration period, in courses or programs approved by the Board under 233 CMR 3.03.
The registration period runs April 1 through March 31. This catches people out — hours must fall inside that window, not the calendar year, so a December course counts toward the period ending the following March.
Take the consequence seriously: unless the requirement is waived, failure to complete the continuing education constitutes sufficient grounds for disciplinary action by the Board. This is not a fee-and-catch-up state.
Massachusetts restricts continuing education by subject matter, which is where most planning errors happen. Under 233 CMR 3.03, qualifying coursework must be devoted to one of four areas:
Excluded: the administrative or economic aspects of practice. Practice-management, marketing, billing-as-business and similar coursework may be valuable to your practice, but it will not count toward your Massachusetts 12 hours. Check the subject classification of a course before you rely on it.
The Board also identifies advanced diagnostic testing, and manipulation under anaesthesia where used in practice, as relevant continuing education subjects.
A course or program is approved for credit when it meets all of the following under 233 CMR 3.03:
All 12 hours may be earned online, and the Board accepts FCLB PACE. CCEDseminars is a PACE-recognized provider (#34015544) in affiliation with Texas Chiropractic College, a CCE-accredited institution. The Board also publishes a searchable list of continuing education courses approved for credit in Massachusetts.
Records. A chiropractor is responsible for maintaining written proof satisfactory to the Board of completed continuing education for no less than three years from the date the course was taken. Note the anchor — three years from the course date, not from renewal. Keep attendance certificates on file.
Waivers, and the timing that matters. The Board may waive the requirement for a chiropractor who submits written proof of illness, unforeseeable emergency, extreme hardship, or other good and sufficient reason deemed adequate by the Board. Critically, a chiropractor seeking a waiver must submit the request and receive written notice that the waiver has been granted before the deadline — it is not something you can apply for retroactively once you have fallen short.
Massachusetts requires at least 12 hours of Board-approved continuing education during each one-year registration period, which runs April 1 through March 31 (233 CMR 3.01).
Coursework must be devoted to clinical proficiency, philosophy and ethics, Massachusetts jurisprudence, or the human and biological sciences. Courses on the administrative or economic aspects of practice — practice management, marketing and similar business topics — do not count toward the requirement.
Yes. Massachusetts permits all 12 hours to be earned online, provided the course is Board-approved under 233 CMR 3.03 and falls within the permitted subject areas.
Yes — the Massachusetts Board of Registration of Chiropractors accepts FCLB PACE. Courses must still meet the Board's sponsor and subject-matter criteria under 233 CMR 3.03.
You must maintain written proof satisfactory to the Board for no less than three years from the date the course was taken — measured from the course date, not from your renewal date. Keep attendance certificates on file.
The Board may grant a waiver on written proof of illness, unforeseeable emergency, extreme hardship, or another good and sufficient reason. You must submit the request and receive written notice that the waiver has been granted before the deadline — a waiver cannot be sought retroactively.
Unless the requirement has been waived by the Board, failure to complete the required continuing education constitutes sufficient grounds for disciplinary action (233 CMR 3.01).
CCEDseminars · PACE Provider #34015544 · Reviewed by Monte Horne, DC · Last updated July 23, 2026 (CT)