STATISTICS OF MN LICENSED CHIROPRACTORS

As of September 25, 1997

WHERE HAVE YOU GONE?

Licensees are responsible for reporting to the MBCE an address change within 30 days of the change. In the past, the MBCE staff has taken address changes over the phone. Effective immediately, all address changes MUST be made in writing.

Before you submit a new address, know that whatever address you have on file with the MBCE is considered public information. The general public has access to this address.

When submitting an address change, please provide the following information:

• Chiropractor(s) name(s) County
• Clinic name Telephone number
• New address Fax number

CALENDAR OF SIGNIFICANT EVENTS

OCT 17 MBCE mails license renewals

OCT 23 Requests to make a presentation at the Nov 20 board meeting due

NOV 10 MBCE office closed for Veterans Day holiday

NOV 20 Board meeting

NOV 27& 28 MBCE office closed for Thanksgiving holiday

DEC 31 LICENSE RENEWALS AND CORPORATION RENEWALS (must be postmarked or hand-delivered by this date)

JAN 1 MBCE office closed for New Year holiday

IT'S TIME TO RENEW YOUR LICENSE !!!

DEADLINE: Chiropractic licenses must be renewed by January 1, 1998 in order for practitioners to continue practicing in 1998. In order to be renewed by January 1, 1998, the renewal must be postmarked or hand-delivered to the MBCE office by December 31, 1997. Licenses not renewed by January 1, 1998 will EXPIRE. This means the license is no longer active and a practitioner may not continue practicing until all renewal requirements are met. Practicing chiropractic with an expired license is a violation of Minnesota law and may result in action against the license.

Renewal materials will include a form that must be completed (including a signature) and returned with the appropriate fee. Fees for a 1998 license are:

Active = $200.00

Inactive = $150.00

Renewal fees received after the December 31st deadline, will be assessed a $150/month late fee.

CONTINUING EDUCATION: All chiropractors originally licensed prior to January 1, 1996 must have attended 40 hours of continuing education during the calendar years of 1996 and 1997. Six (6) of these hours must be in the subject area of x-ray, and two (2) hours must be in the subject area of infection control.

IT'S TIME TO RENEW YOUR LICENSE !!! (CONT'D)

DEFERMENT OR WAIVERS Any licensee unable to complete the renewal continuing education requirement must submit a request for a deferment or waiver PRIOR TO the renewal deadline in order to receive consideration. Deferments and waivers may only be granted for situations involving financial hardship and/or illness.

9MBCE OFFICE STAFF UPDATE

The MBCE has gone through some staff changes in the last few months. Many licensees probably knew Debbie Lanoux - or at least the name. Debbie was our licensure, continuing education and examination coordinator. In May, Ms. Lanoux accepted a new position with the Department of Public Safety. Early reports indicate that she is definitely enjoying her new challenge.

Ms. Lanoux's departure obviously created a big hole in our staff of five. But, we're happy to report that we are back to full complement - just in time for license renewal.

We would like to congratulate our receptionist, Pat Watson, for her promotion to licensure, continuing education and examination coordinator. Ms. Watson will now be your main contact with regard to the renewal of licenses and registrations, approval of continuing education seminars, recording of continuing education hours, and administration of the license examination.

In addition, we welcome Becky Elmasry as our new receptionist. Ms. Elmasry will assist callers with obtaining appropriate forms for licensure, registrations (of such things as acupuncture, corporations, etc.), as well as answering that most popular of questions: "How many CE hours do I have?"

The MBCE licensed the following individuals:

As of July 1, 1997

Kenneth S. Albertson D.C.

Dr. Albertson died June 12, 1997 at the age of 80. A graduate of Lincoln Chiropractic College in Indianapolis, Indiana, Dr. Albertson was licensed in Minnesota for 36 years. Dr. Albertson served two terms on the Minnesota Board of Chiropractic Examiners.

Q. When will license renewal materials be mailed?

A. License renewal materials should be in the mail no later than October 24, 1997. If you have not received them by the second week of November, please contact the MBCE office immediately.

Q. How much is the renewal fee?

                    A. The active license renewal fee is $200.00. The inactive license renewal fee is $150.00.

Q. What are the continuing education requirements for this renewal?

A. For licensees who were originally licensed prior to January 1, 1996, the continuing education requirement is a total of 40 hours. Six (6) of those hours should be in the area of x-ray. Two (2) of those hours should be in the area of infection control.

For licensees originally licensed during 1996, the continuing education requirement is a total of 20 hours. Three (3) of those hours should be in the area of x-ray. One (1) of those hours should be in the area of infection control.

For licensees originally licensed during 1997, there are no continuing education hours required for renewal.

Q. What about the professional boundaries/abuse requirement?

A. There is NOT a professional boundaries/abuse requirement this renewal. The next eight (8) hour requirement is due by December 31, 2001.

A. Consult the continuing education sponsor list elsewhere in this newsletter. If the sponsor is an approved sponsor (highlighted on page 2), check with the sponsor to see if they have approved the seminar. Otherwise call the MBCE. Always check BEFORE you attend.

A. Yes. MBCE staff would actually prefer that your renewal application and fee be mailed at your earliest opportunity. As each renewal requirement is received, the MBCE will update your file. When all renewal requirements have been completed, your license will be renewed. (Don't risk having a penalty fee assessed on a late renewal fee just because you were waiting to complete your continuing education.)

Q. I won't be able to complete my continuing education due to extenuating circumstances. What should I do?

A. Minnesota Rules 2500.2000 allows for the deferment or waiver of continuing education based on illness or hardship. A request for deferment or waiver of continuing education MUST be received prior to December 31, 1997. You may request a deferment/waiver form by contacting the MBCE office by phone, fax, or e-mail.

Q. Will the board notify me if they have not gotten my renewal by mid- to late-December?

A. No. The reality is that MOST licensees wait until the end of December to mail in their renewal. Such a large mailing at the MBCE's busiest time of the year is just not possible. The MBCE believes that mailing of renewal materials and publication of this newsletter should be ample enough "reminder" that renewals are due. Additionally, the MBCE expects that the renewal of a professional license would be a priority with any professional.

A. The best way is to send your renewal by certified mail with a "return receipt requested". This way you will receive a document with one of our staff people's names on it - attesting to the receipt of your renewal.

Q. When will I receive my license certificate?

A. The MBCE's policy is to mail licenses three weeks after the receipt of a renewal fee or upon completion of all renewal requirements, whichever is later. (Keep this in mind If you need to send a copy of your license to an insurance carrier in order to renew your providership.)

A. NO! If your renewal requirements (application, fee, and CE) are not completed by December 31, 1997, you NO LONGER have an active license. Therefore, YOU MAY NOT PRACTICE UNTIL YOU DO!

A. The MBCE makes every effort to mail a "letter of deficiency" within three days of receiving renewal materials if the renewal application is not complete (an item is not completed on the application form, the fee is missing, continuing education verification has not been received). But, please understand that these letters are ONLY mailed as a response to receipt of an incomplete renewal application.

If your renewal application is complete, your 1998 license will be mailed three weeks after the receipt of a renewal fee or upon completion of all renewal requirements, whichever is later. Therefore, the earlier you complete your renewal application (this includes meeting the continuing education requirements), the sooner you will receive your license.

Q. Oops! I forgot to mail my renewal. May I hand-deliver it on January 2nd without paying a penalty fee?

A. No. Any renewal hand-delivered on January 2nd or after will be assessed a penalty fee. The MBCE has to have an absolute deadline. Therefore, if a renewal is postmarked or hand-delivered by December 31st, that renewal will be on time. If the renewal is postmarked or hand-delivered January 1st or after, it will be late. Any fees received late, will be assessed a $150 penalty for each month (or portion of a month) it is late. Penalty fees are NOT pro-rated by the number of days the renewal fee is late. As soon as the calendar turns, another full penalty fee is assessed.

MnDOT

In April 1995, the MBCE obtained an opinion from MBCE legal counsel, stating doctors of chiropractic had the authority to perform physical examinations necessary to sign health certificates for drivers working for the Minnesota Department of Transportation (MnDOT). This opinion was contrary to an earlier opinion obtained by MnDOT from their legal counsel.

Because the two opinions emanated from the same agency (the Attorney General's Office), the MBCE asked the Attorney General to endorse one opinion or the other. A letter from MN Attorney General Hubert H. Humphrey III and Deputy Attorney General Lucinda E. Jesson resulted in April 1997. In the letter, they stated, "It is our legal opinion, based on this analysis, that doctors of chiropractic have the authority to perform the necessary tests required by the MnDOT physical examination form and sign the corresponding certificate." A copy of this letter was provided to MnDOT. Earlier indications are that the Commissioner of Public Safety refuses to accept this position.

SEEKING LICENSURE IN ANOTHER STATE?

Something to keep in mind: When you seek licensure in another state, you will be asked to provide verification of your licensure in Minnesota. Such verification must come from the MBCE.

So, how do you obtain this verification?

1. Send the MBCE a written request for a "letter of standing". If the state to which you are applying has provided a form for completion, please include it with your written request. Otherwise, the MBCE will generate a letter.

2. Send a $10 processing fee with the request. The MBCE will not complete verifications of licensure without first receiving this fee.

3. Allow two (2) weeks for processing.

Infection Control

On May 27, 1997, the joint rules governing infection control standards for the MN Boards of Chiropractic Examiners, Dentistry, Medical Practice, Nursing, and Podiatric Medicine became legally effective.

The purpose of the joint rules is to promote the health and safety of patients and licensees by reducing the risk of transmission of HBV and HIV in the provision of health care through the use of universal precautions and other infection control procedures. The law authorizing the joint rules is MN Statute, Chapter 214.

Following is a copy of the new rules in their entirety:

Adopted Permanent Rules Relating to Infection Control by the Board of Chiropractic Examiners, the Board of Dentistry, the Board of Medical Practice, the Board of Nursing, and the Board of Podiatric medicine

6950.1000 STATEMENT OF PURPOSE.

Parts 6950.1000 to 6950.1080 are intended to promote the health and safety of patients and regulated persons by reducing the risk of transmission of HBV and HIV in the provision of health care through the use of universal precautions and other infection control procedures.

6950.1010 DEFINITIONS.

Subpart 1. Scope. The terms used in parts 6950.1000 to 6950.1080 have the meanings given in this part and Minnesota Statutes, section 214.18.

Subp. 2. Clinical practice location. "Clinical practice location" means a site at which a regulated person practices.

Subp. 3. Contaminated. "Contaminated" means the presence or the reasonably anticipated presence of potentially infectious materials on an item or surface.

Subp. 4. Decontamination. "Decontamination" means the removal, inactivation, or destruction of HBV and HIV on a surface or item to the point where HBV and/or HIV are no longer capable of causing infection and the surface or item is rendered safe for barehanded touching, use, or disposal.

Subp. 5. Exposure incident. "Exposure incident" means that a person has eye, mucous membrane, nonintact skin, or parenteral contact with potentially infectious materials at a clinical practice location.

Subp. 6. High-level disinfection. "High-level disinfection" means the elimination of viability of all microorganisms except bacterial spores.

Subp. 7. Infection control requirements. "Infection control requirements" means the requirements of parts 6950.1000 to 6950.1080 and Minnesota Statutes, sections 214.17 to 214.25.

Subp. 8. Parenteral. "Parenteral" means taken into the body in a manner other than through the digestive canal.

Subp. 9. Patient. "Patient" means a person who receives health care services from a regulated person. For the purposes of part 6950.1040, patient includes the parent or guardian of a patient who is a minor, the guardian of a patient who is incompetent, and a person legally authorized by the patient to act on the patient's behalf when the patient is temporarily unable to act on the patient's own behalf.

Subp. 10. Personal protective equipment. "Personal protective equipment" means any equipment or overclothes that reduce the risk of a person's clothing, skin, eyes, mouth, or other mucous membranes coming into contact with potentially infectious materials at a clinical practice location. Personal protective equipment includes, but is not limited to, aprons, clinic jackets, eyeglasses with shields, face shields, foot and leg coverings, gloves, gowns, lab coats, and masks.

Subp. 11. Potentially infectious materials. "Potentially infection materials" means:

A. human blood, human blood components, and products made from human blood;

B. semen, vaginal secretions, cerebrospinal fluid, synovial fluid, pleural fluid, pericardial fluid, peritoneal fluid, amniotic fluid, saliva in dental procedures, any body fluid that is visibly contaminated with blood, and all body fluids in situations where it is difficult or impossible to differentiate between body fluids;

C. any unfixed tissue or organ (other than intact skin) from a human (living or dead); and

D. HIV-contain cell, tissue, or organ cultures, HIV- or HBV-containing culture media or other solutions, and blood, organs, or other tissues from experimental animals infected with HIV or HBV.

Subp. 12. Sharps. "Sharps" means objects that can penetrate the skin. Sharps include, but are not limited to, needles, scalpels, broken glass, broken capillary tubes, and exposed ends of dental wires.

Subp. 13. Sterilization. "Sterilization" means the destruction of all microbial life, including bacterial spores.

6950.1020 COMPLIANCE WITH INFECTION CONTROL REQUIREMENTS.

Subpart 1. Scope of responsibility. A regulated person must comply with infection control requirements to the extent that the regulated person has responsibility for, or jurisdiction and control over, a specific infection control procedure to which the requirements apply.

Subp 2. Exception to compliance. A regulated person must strictly comply with the requirements of parts 6950.1000 to 6950.1080 unless, under rare and extraordinary; circumstances, strict compliance with the requirements would prevent the delivery of health care services or impose an increased hazard to the safety of patients or regulated persons.

6950.1030 COMPLIANCE WITH RECOMMENDATIONS OF CENTERS FOR DISEASE CONTROL.

Subpart 1. Scope of responsibility. A regulated person must comply with the recommendations of the Centers for Disease Control to the extent that the recommendations are consistent with the requirements of parts 6950.1000 to 6950.1080. The recommendations are contained in the following Centers for Disease Control documents:

A. "Guideline for Handwashing and Hospital Environmental Control, " 1985;

B. "Morbidity and Mortality Weekly Report," August 21, 1987, Vol. 36, No. 2S;

C. "Morbidity and Mortality Weekly Report," June 24, 1988, Vol. 37, No. 24;

D. "Morbidity and Mortality Weekly Report," February 9, 1990, Vol. 39, No. RR-2;

E. "Morbidity and Mortality Weekly Report," May 28, 1993, Vol. 42, No. RR-8; and

F. "Morbidity and Mortality Weekly Report, " June 7, 1996, Vol. 45, No. 22.

The recommendations are incorporated by reference. The recommendations are available at the Minnesota State Law Library, Judicial Center, 25 Constitution Avenue, St. Paul, Minnesota 55155. The recommendations are subject to frequent change.

Subp. 2. Inconsistencies. To the extent there are inconsistencies between the requirements of parts 6950.1000 to 6950.1080 and the recommendations of the Centers for Disease Control and Prevention, the requirements of parts 6950.1000 to 6950.1080 supersede the recommendations of the Centers for Disease Control and Prevention. If there are inconsistencies in the recommendations of the Centers for Disease Control and Prevention, the most recent recommendations supersede earlier recommendations.

6950.1040 EXPOSURE INCIDENTS

A regulated person with personal knowledge of an exposure incident must ensure that the exposed patient, and with the patient's permission, the patient's primary health care provider, are informed of the exposure incident and that the patient is offered assistance in securing follow-up care immediately or as soon as possible after the patient is subjected to an exposure incident. If the exposure incident occurs in a health care setting that has written procedures regarding exposure incidents and the procedures require patient notification of the exposure incident and the offer of assistance to the patient in securing follow-up care, the regulated person meets the requirements of this part by notifying the official designated in the written procedures charged with the responsibility of carrying out the procedures. A regulated person must not disclose to a patient who is subjected to an exposure incident the identity of the source unless the source has explicitly given authorization for release of identity.

6950.1050 COMPLIANCE WITH POLICIES AND PROCEDURES ON INFECTIOUS DISEASES.

Parts 6950.1000 to 6950.1080 must not be construed to limit the duty, obligation, or responsibility of a regulated person to comply with policies and procedures that are designed to prevent the transmission of infectious diseases, are consistent with infection control requirements, and are required by a clinic, hospital, institution, or other entity at a clinical practice location.

6950.1060 GENERAL CONTROLS

Subpart 1. General requirements. A regulated person:

A. must not cut, bend, or break contaminated needles;

B. must minimize exposure to contaminated sharps by actions such as not recapping or removing a contaminated sharp from its base unless the regulated person can demonstrate that no safer alternative is feasible, that the action is required by a specific medical procedures, or that the base is reusable, in which case the recapping or removal must be accomplished through the use of a mechanical device or a one-handed technique;

C. must minimize splashing, spraying, spattering, and generation of droplets of potentially infectious materials;

D. must not perform mouth pipetting or suctioning of potentially infectious materials;

E. must, before caring for a subsequent patient, remove and replace protective coverings used to cover equipment or work surfaces in work areas if the coverings become contaminated;

F. must remove debris and residue and decontaminate equipment before the equipment is repaired in the clinical practice location or transported to another site for repair or, if the equipment cannot be decontaminated before repair, must label the equipment as potentially contaminated; and

G. must pick up contaminated objects in such a manner that bare or covered skin does not come into contact with contaminated sharp surfaces.

Subp. 2. Multiple dose vials.

A. A disposable needle and/or syringe that is used to withdraw fluid from a multiple dose vial must not be used more than once.

B. A reusable needle and/or syringe that is used to withdraw fluid from a multiple dose vial must be sterilized before each use.

Subp. 3. Handwashing. A regulated person must thoroughly wash hands or other skin surfaces as soon as feasible after hands, other skin surfaces, or gloves are contaminated and in any case prior to treatment of a subsequent patient.

Subp. 4. Contaminated equipment, instruments, and devices.

A. All debris and residue from reusable contaminated equipment, instruments, and devices must be completely removed.

B. Equipment, instruments, and devices which come into contact with a patient's vascular system or other normally sterile areas of the body must be sterilized.

C. Reusable equipment, instruments, and devices which come into contact with a patient's intact mucous membranes but do not penetrate body surfaces must be sterilized or high-level disinfected.

D. Reusable equipment, instruments, and devices which come into contact with a patient's intact skin must be decontaminated.

E. Work surfaces must be decontaminated immediately or as soon as feasible after the surfaces become contaminated and prior to treatment of a subsequent patient.

Subp. 5. Transfers. A regulated person must not transfer contaminated disposable sharps or potentially infectious materials from one container to another container.

Subp. 6. Disposable contaminated sharps. A regulated person:

A. must, immediately or as soon as feasible after use and until the sharps are disposed of, store disposable contaminated sharps in containers that are puncture resistant, leakproof on the sides and bottom, collapsible, and labeled with a biohazard symbol;

B. must not store or dispose of disposable contaminated sharps in a manner that allows a person to reach by hand in to the containers where the sharps are placed;

C. must place containers for disposable contaminated sharps where the containers are easily accessible to health care workers and as close as is feasible to the immediate area where sharps are used or can reasonably be expected to be found;

D. must place containers for disposable contaminated sharps where the contents do not impose undue risk of an exposure incident at a clinical practice location;

E. must maintain containers for disposable contaminated sharps upright throughout use; and

F. must replace containers for disposable contaminated sharps before they become full.

Subp. 7. Reusable contaminated sharps. A regulated person:

A. must, immediately or as soon as feasible after use and until the sharps are decontaminated, store reusable contaminated sharps in containers that are puncture resistant, leakproof on the sides and bottom, and labeled with a biohazard symbol;

B. must place containers for reusable contaminated sharps where the containers are easily accessible to health care workers and as close as is feasible to the immediate area where sharps are used or can reasonably be expected to be found;

C. must place containers for reusable contaminated sharps where the contents do not impose undue risk of an exposure incident at a clinical practice location;

D. must maintain containers for reusable contaminated sharps upright throughout use; and

E. must replace containers for reusable contaminated sharps before they become full.

6950.1070 PERSONAL PROTECTIVE EQUIPMENT.

Subpart 1. General requirements. The general requirements for personal protective equipment are as described in this subpart.

A. A regulated person must wear appropriate personal protective equipment in situations where it is reasonably anticipated that the person may have skin, eye, mucous membrane, or parenteral contact with potentially infectious materials at a clinical practice location.

B. Appropriate personal protective equipment must be worn in situations where potentially infectious materials may be splashed, sprayed, spattered, or otherwise generated.

C. Contaminated disposable personal protective equipment must not be used in the care of more than one patient.

D. Personal protective equipment must be replaced as necessary to protect oneself and patients from transmission of HBV or HIV.

E. Personal protective equipment must be discarded after its ability to function as a barrier is compromised.

F. After contaminated personal protective equipment is removed, it must be stored so as not to pose undue risk of an exposure incident.

Subp. 2. Gloves. A regulated person:

A. must wear gloves when:

(1) it can be reasonably anticipated that contact with potentially infectious materials, mucous membranes, or nonintact skin may occur;

(2) vascular access procedures are performed; or

(3) contaminated items or surfaces are handled or touched;B. must wear sterile gloves in preparation for and during surgery requiring sterile technique;

C. must replace gloves before caring for a subsequent patient;

D. must discard gloves which have become worn or punctured, or after their ability to function as a barrier is otherwise compromised;

E. must not use disposable examination gloves on more then one patient; and

F. must discard reusable utility gloves used for decontamination procedures or housekeeping tasks if the gloves are cracked, peeling, torn, puncture, exhibit other signs of deterioration, or if their ability to function as a barrier is otherwise compromised.

Subp. 3. Masks, face shields, and eye protection equipment. A regulated person:

A. must wear either:

(1) a mask and eye protection equipment; or

(2) a chin-length plastic face shield in situations where it is reasonably anticipated that potentially infectious materials may be splashed, spattered, or otherwise generated;

B. must replace a disposable mask before caring for a subsequent patient if the mask becomes contaminated; and

C. must decontaminate a reusable mask, face shield, safety glasses, or eye protection equipment before caring for a subsequent patient if the item becomes contaminated.

6950.1080 SPILLS AND LAUNDRY

Subpart 1. Spills. Surfaces must be decontaminated immediately or as soon as feasible after potentially infectious materials are spilled.

Subp. 2. Laundry. Contaminated linen:

A. must be handled as little as possible and with minimum agitation;

B. must be placed in bags that prevent leakage at the location where it is used; and

C. must not be sorted or rinsed in patient-care areas.

6950.1090 UNCONFINED LESIONS. [Withdrawn at 21 SR 1311]

 BOARD MEETING UPDATE

Action taken by the MBCE at its April 17, 1997 meeting included:

Disciplinary action (see page 1)

Selection of Dr. Otto as voting delegate and Dr. Pennebaker as alternate to the Federation of Chiropractic Licensing Boards Annual Convention

Action taken at the July 17th meeting included:

Disciplinary action (see page 1)

Approval of proposed rules language for new rules or amendments to rules relative to:

• Late acupuncture registration renewals
• Definitions of "expire" and "terminate"
• Unapproved continuing education programs
• Inactive retired license status
• Clarification of the Graduate Preceptorship Program fees
• Increasing the Peer Review fee
• Licensure examination requirements
• Reinstatement of terminated licenses
• Alternative forms of continuing education
• Authorization for the rules committee to pursue the development of a rule relative to charging fees for lists of chiropractors

Action taken at the September 18th meeting included:

Disciplinary action (see page 1)

Direction to the legislative committee to contact the MN Chiropractic Association with regard to their interest in pursuing legislation to allow for reciprocity/endorsement; the committee should also investigate the use of a legislative lobbyist

Approval of a policy defining how and when a board member receives a per diem

Approval for the board to take on the financial responsibility for staff parking

E-MAIL ADDRESSES

The MBCE has recently obtained access to the Internet. All health licensing boards are currently working on a shared Web page. In the meantime, all staff have e-mail addresses. Please understand that MBCE staff cannot accept anything via e-mail which requires the completion of a form or a fee. Otherwise, here's who you can contact for a variety of information.

Contact Becky.Elmasry@state.mn.us

• For public information about a licensee
• To obtain an application for licensure or any registrations
• If you are a licensee and need to know the number of continuing education hours that have been reported to the MBCE.

Contact Pat.Watson@state.mn.us

• With any questions about licensing
• With any questions about registering to perform acupuncture or independent examinations
• If you are interested in participating in the Graduate Preceptorship Program
• For continuing education seminar approval information
• To change your address (Please include your name, a clinic name, if applicable; the new street address, city, state and zip; the county; a daytime phone number; and a fax number.)

Contact Micki.King@state.mn.us

• For information about the disciplinary process
• For information about the Peer Review Committee

Contact Lori.Campbell@state.mn.us

• For a schedule of MBCE meetings
• For information about the status of proposed rules
• If you are interested in becoming a member of the MBCE or its Peer Review Committee
• If you would like to be on any special mailing lists (notification of special MBCE board meetings, rules notification, etc.)
• For any question or concern that is not addressed in the above listings

MEMBERS, PEER REVIEW COMMITTEE

The Minnesota Board of Chiropractic Examiners (MBCE) does not discriminate on the basis of race, color, national origin, sex, religion, age or disability in employment or the provision of services.