Our mission: to protect the public by promoting excellence in chiropractic regulation through service to our member boards
Our vision: The FCLB is the premier international resource for information and consolidated services for ensuring the safe, ethical practice of chiropractic




Learn more!

Verify CCCA Certification
To verify a CCCA's active, current certification, contact: CCCA@fclb.org
Please include the CA's first and last name as well as his or her current jurisdiction of practice.



Program Information 
•  Brochure 
•  Candidate Handbook
•  PDF of About CCCA PowerPoint 
Useful Resources 
•  Test Plan 
•  Tennessee Chiropractic Association CTA Textbook order form 
Model Practice Act - Registered Chiropractic Clinical Assistants
Candidates may substitute 2,000 hours of clinical experience or previous CA licensure for 24-hour coursework requirement.
FCLB does not offer coursework.  Please see the list of approved providers below, or contact us regarding unapproved providers.
CCCA Education
The following are PACE Recognized providers who offer CA training that meets or exceeds the requirements of the CCCA program.  Please reference the CCCA test plan for more information about exam requirements.





Also: Read about the CCCA program in the Chiropractic Assistant Magazine (December 2014 issue, page 6).

 My CCCA Account

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CCCA - Certified Chiropractic Clinical Assistant

Learn more about the Chiropractic Assistant Certification

The Certified Chiropractic Clinical Assistant (CCCA) program is a professional certification program offered by the Federation of Chiropractic Licensing Boards (FCLB). It is a program designed for individuals who assist with chiropractic therapies in a clinical setting. The program is NOT intended for staff conducting X-rays or front office duties.

Why get a chiropractic assistant certification?

Earning a CCCA certification is beneficial for several reasons. First, it improves public protection. The program gives you the regulatory knowledge and practical skills needed to appropriately and safely assist in the treatment of patients. Second, the CCCA program ensures uniform chiropractic assistant training, approximately five percent (5%) of malpractice claims are related to injuries due to therapies. CE credentialing also ensures that there is regulatory oversight and authority over improper conduct. Lastly, obtaining a CCCA certificate may satisfy accreditors for insurance companies, as oftentimes health care providers with patient contact must be credentialed or licensed

In the United States, twelve regulatory boards have statutory authority over chiropractic assistants. The FCLB recommends a combined approach According to certification standards. The curriculum for the chiropractic assistant certification is modeled after the FCLB statute and regulation language and is supported by the FCLB. The FCLB is also willing to work directly with boards to help add specific options and will work with boards on full or partial national certification.

Chiropractic Assistant Certification Program Overview

How to become a chiropractic assistant?

There are three parts to the chiropractic assistant certification program: The first offers two avenues for learning the foundational knowledge necessary to safely assist with therapies. CCCA requires either 2000 hours of hands-on experience under the supervision of a licensed chiropractor or 24 hours of approved education. The second part of the chiropractic assistant certification program is testing, followed by a required 300 hours of supervised practical chiropractic assistant experience.

How to qualify as a chiropractic assistant?

To be eligible for the chiropractic assistant certification program, candidates must be at least 18 years of age with a high school diploma or equivalent. They must also possess good moral character and be willing to complete the chiropractic assistant certification requirements. The cost of the certification is $150, and includes the price of the examination

If you decide to take part in the 24 credit hours of education, there are a few items to note. First, courses offered by Providers of Approved Continuing Education (PACE) recognized educators are already vetted to meet CCCA standards. The 24-credit hour requirement can be accessed online, in-person, or a combination thereof. If you submit the 24-credit hour requirement from an institution or venue that is not PACE recognized, a $25 review fee of the program and coursework will be applied to your application.

Chiropractic Assistant Certification Test

Once you fulfill this requirement, you will then move on to the online exam. The exam covers a mix of foundational knowledge, patient safety procedures, ethics and boundaries, and documentation. The examination is the centerpiece of the chiropractic assistant certification credentialing program. The online exam is available 24/7 but must be proctored by an individual with current licensing in good standing. The chiropractic assistant certification test consists of 100 items, and each applicant has 75 minutes to complete. Accommodations are available for applicants with documented special needs

Once you pass the chiropractic assistant certification test, you are awarded an initial certification that can be printed out and used immediately. Shortly after that, each applicant who successfully passes the exam and all other requirements will be sent an official photo ID badge that is branded with both the CCCA and FCLB logos.

. Before your first renewal, you will be required to demonstrate at least 300 hours of supervised practical clinical experience. This can be satisfied by working the 300 hours in a Doctor of Chiropractic office or applied credit from previous experience. For re-certification, the 300 hours must be completed no later than the first anniversary of passing the exam. Subsequent renewals take place every two years, requiring six continuing education hours in any of four available categories, along with a $35 fee. At this point, you will receive an updated badge and credentialing certification.

The FCLB is committed to the success of each certified chiropractic assistant and works to deliver up-to-date information regarding regulatory processes or changes. The FCLB works with state regulatory chiropractic agencies to adopt CCCA standards and educate legislators about regulatory authority over clinical certified chiropractic assistants.