Declaratory Order Petition forms can be obtained from the Board's administrative office.
Board of Chiropractic Examiners
Request for Advisory Ruling
Date: __________________________________
Licensee's Name: ________________________
Licensee's Address: ______________________
Zip Code:_______________________________
License Number: _________________________
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Licensees Signature
Mail or Deliver to:
Administrator
Tennessee Board of Chiropractic Examiners
227 French Landing, Suite 300
Heritage Place, MetroCenter
Nashville, TN 37243
Tenn. Comp. R. & Regs. 0260-02-.19
Authority: T.C.A. §§ 4-5-202, 4-5-204, 63-4-103, 63-4-106, 63-4-114, and 63-4-115.