CTA Online Exam – Exit Form

I acknowledge that downloadable versions of the following items will be emailed to me upon passing my exam and are also available online:

• General Rules Governing Chiropractic Therapy Assistant
• Overview of Application for Licensure as a Chiropractic Therapy Assistant
• CTA Intern Hour Log
• Clinical Internship Performance Report

I understand that as soon as my exam answers and proctored session have been reviewed, I will receive email notification of my exam score (typically within 72 business hours) with my certificate verifying completion of my CTA 50 Hour Training Program and my pass letter verifying my completed TN CTA State Exam with minimum score of 75.

IMPORTANT:  I acknowledge that I may not begin performing any CTA duties in the office until I have received notification of a passing score on the CTA Examination. Only once I have been notified by email that I have successfully passed my TN CTA State Examination, from that point, I am eligible to begin accumulating the required 1200 hours of clinical internship performing chiropractic therapy assistant duties under direction of a supervisor for the purpose of receiving practical training in providing physical agent modalities and rehabilitation. Also, I understand that only CTA related duties are acceptable and that hours devoted to other office positions are not to be included.

Per section 0260-05-.10 of the TN Rules Governing Chiropractic Therapy Assistants, intern supervision is for the purpose of training or teaching, by an approved supervisor who monitors the performance of an individual. The supervisor provides regular documented face-to-face guidance and instruction with respect to the skills and competencies of the person supervised. Per section 0260-05-.01, supervision is defined as the ongoing, direct review, for the purpose of training or teaching, by a licensed chiropractic, medical or osteopathic physician, or chiropractic therapy assistant supervisor who monitors the performance of an intern.

I understand that as I am working in my clinical internship, I am exempt from the certification requirements, but only for a period not to exceed one (1) year from the date of examination, unless an extension is granted by the Board of Examiners.

I acknowledge that I am aware of the CTA licensure application and process. I understand that the TN Board of Examiners will only accept applications submitted online. I have noted there is a list of items that must be submitted along with the CTA licensure application, including the certificate and the exam pass letter to be issued by the TCA. I understand that I must also include a copy of my internship log and performance report for the Board of Examiners’ review.

I understand that effective June 1, 2006 applicants for initial licensure in Tennessee (not renewal or reinstatement) must obtain a criminal background check. I may contact the TN Board of Examiners for instructions prior to submitting my license application.

I have been informed that as a licensed Chiropractic Therapy Assistant, I am required to have six (6) hours of continuing education per calendar year beginning the year immediately following the initial year of licensure. I have also been informed that I must attend a 2-hour, one-time only New Licensee seminar no later than the first year that continuing education is required.

For continuing education submission requirements, please refer to the Board of Examiners. I acknowledge I am responsible for retaining records of the 2-hour New Licensee seminar and each 6-hour state approved continuing education seminar that I attend as verification for submission purposes and in the event I am audited.

I have noted that the contact information for the Tennessee Board of Chiropractic Examiners (TBCE) is on the license application. I also understand the importance of keeping my contact information current with the TBCE and the TCA in order to receive correspondence regarding license renewals, audits and other important notices to avoid unnecessary fines and/or risk losing my license.

Lastly, I agree to read through the CTA Rules in their entirety in order to be fully informed of the state requirements for all those holding CTA licensure.