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07/28/26 7 - 9 PM CT Muscle as Medicine: Strength Training & Healthspan | CCED
CE Hours2
Tuition$59.00
| Total hours | 48 hours biennially |
| The split | 24 formal + 24 general |
| Renewal deadline | February 28 of odd-numbered years |
| Formal categories | From at least 2 of 5 listed categories |
| Hour defined | 1 hour = at least 50 minutes of instruction or study |
| Online | Permitted with board approval — no hard cap on online hours |
| Records | Keep previous and current cycles; 60 days to respond to audit |
| Regulator | Missouri State Board of Chiropractic Examiners (20 CSR 2070-2.080) |
Ready to enroll? Skip to Missouri-eligible courses ↓
Missouri chiropractors must complete 48 hours of continuing education every two years prior to license expiration — at least 24 of which must be formal hours earned by attending board-approved programs, seminars or workshops drawn from no less than two of the Board's five formal categories, with the remaining 24 counting as general continuing education, under the Missouri State Board of Chiropractic Examiners (20 CSR 2070-2.080). One hour means at least 50 minutes of instruction or study, and formal hours may be obtained online with board approval. This page explains the formal/general split, the five categories, what qualifies as general education (more than most doctors realize), and the waivers Missouri offers.
Always confirm your personal obligations with the Missouri State Board of Chiropractic Examiners. The requirements below reflect 20 CSR 2070-2.080 and section 331.050, RSMo.
FCLB PACE Provider #34015544 · Board-approved for Missouri · Online courses and live webinars · Instant certificates for your records
Every two years and prior to the expiration date of a license, a Missouri licensee must complete 48 hours of continuing education. Renewal is biennial, with the cycle closing February 28 of odd-numbered years.
The 48 hours divide into two kinds. At least 24 must be "formal" — earned by attending continuing education programs, seminars and/or workshops that have been approved by the Board. The remaining 24 are "general", and Missouri defines that far more broadly than most states (see the next section).
For this rule, one hour of continuing education means at least 50 minutes of instruction or study — not a clock hour. If you cannot finish in time, you may submit a written request for an extension before expiration and pay the late continuing education fee; late-earned hours apply to the cycle they were owed to, not the next one.
Formal hours must be drawn from no less than two of the following five categories:
Note the phrasing: two categories, not two hours in each — the requirement is breadth across at least two of the five. Some CE guides still list a three-category rule with topics such as ethical practices or emergency procedures; that reflects an earlier version of the rule and is out of date.
This is the most underused provision in Missouri's rule. The remaining required hours are deemed general continuing education, and they may be obtained from one or more of the following:
In practical terms: half your Missouri requirement can be met through reading, professional meetings, writing and teaching, alongside coursework. Document what you do — the Board audits.
Continuing education hours satisfying the formal requirement may be obtained via the Internet, pursuant to 20 CSR 2070-2.081(2)(B) and board approval. Missouri sets no hard ceiling on online hours, though the Board has expressed a preference that a portion of formal study be completed in-seat.
Because formal credit turns on Board approval of the specific program, confirm each course carries current Missouri approval before enrolling. CCEDseminars is an FCLB PACE-recognized provider (#34015544) and our courses are approved for Missouri continuing education.
New graduates. A chiropractic physician issued a license within one year of graduation from an approved chiropractic college is exempt from CE until the end of the first biennial cycle following initial issuance.
Senior licensees. A chiropractic physician at least 65 years old and licensed in Missouri for at least 35 years completes only the 24 formal hours — the remaining hours are waived.
Teaching and examining. Faculty at a CCE-accredited college may receive up to 48 hours biennially. Teaching board-approved courses earns up to 4 hours per year. Board-certified MTAA or insurance-consulting instructors may receive up to 12 hours biennially. An NBCE Part IV associate examiner may receive up to 10 hours (4 formal, 6 general).
Practicing out of state. A Missouri licensee practicing in another state and not practicing in Missouri may use that state's approved CE hours for Missouri renewal without prior board approval. Hardship waivers and extensions require a written request submitted in advance and are granted solely at the Board's discretion.
You verify the number of hours completed on the renewal form, by mail or online, before the expiration date. Documentation is not filed up front.
Missouri's record rule is stricter than most: you must maintain documentation of compliance for both the previous and the current biennial licensure cycles. If selected for a compliance audit, you must provide documentation within 60 days of the Board's written request. Failing to comply with an audit is itself a basis for discipline. CCEDseminars issues an instant certificate at completion and keeps a permanent copy in your account dashboard.
Missouri requires 48 hours of continuing education every two years, completed before the license expiration date. At least 24 must be formal hours from board-approved programs; the remaining 24 are general hours (20 CSR 2070-2.080).
Formal hours must come from no less than two of five categories: diagnostic imaging (X ray); differential or physical diagnosis or both; record keeping and/or SOAP notes; principles, techniques and/or adjunctive procedures; or Meridian Therapy, acupressure and acupuncture. Guides listing a three-category rule reflect an earlier version of the regulation.
General hours may come from board-approved programs, chiropractic programs that are not board-approved for formal credit, attending relevant professional meetings, reading scholarly material such as books, journals and articles in print or online, writing articles for scholarly publications, or teaching an approved postgraduate course.
Yes. Formal continuing education hours may be obtained via the Internet with board approval, and Missouri sets no hard ceiling on online hours. Because formal credit depends on board approval of the specific program, confirm each course carries current Missouri approval.
Yes. A chiropractor licensed within one year of graduation is exempt until the end of the first biennial cycle. A chiropractic physician at least 65 years old and licensed in Missouri for at least 35 years completes only the 24 formal hours, with the remainder waived.
You must maintain documentation for both the previous and the current biennial licensure cycles. If selected for audit, you have 60 days from the Board's written request to provide documentation; failure to comply is itself grounds for discipline.
CCEDseminars · PACE Provider #34015544 · Reviewed by Monte Horne, DC · Last updated July 23, 2026 (CT)