Chiropractic Permits & Licenses in Honolulu, HI

Size limits (e.g., 32 sq ft max wall sign in Honolulu commercial zones); must include business license number.

Required for all LLCs. Online filing via Hawaii Business Express. Annual reports required separately (see below).

Applies to all LLCs. Online filing recommended.

Required for ALL businesses in Hawaii with nexus (physical presence). Renewed annually with tax return.

Requires graduation from CCE-accredited chiropractic college, passage of NBCE Parts I-IV exams, and Hawaii jurisprudence exam. 24 CME hours required for renewal.

Chiropractic practices must register as professional LLC (PLLC) or corporation. Must be owned by licensed chiropractors (HRS §436B-15).

Must publish in newspaper for 4 consecutive weeks in county of principal place of business.

All businesses in Hawaii, including chiropractic services, must register for GET. Chiropractic services are subject to 4% GET rate. Registration is done via Form BB-1.

Chiropractic services are subject to 4% GET. File using Form G-45. Applies to all businesses with gross income in Hawaii.

Required if the chiropractic LLC has employees. Register using Form BB-1. Employers must withhold Hawaii income tax from employee wages.

Employers must file Form WH-3 and remit withheld state income taxes quarterly. Applies to all employers in Hawaii.

All employers in Hawaii must register for Unemployment Insurance (UI) tax. Registration is done through the Department of Labor’s online system.

Employers must file Form UI-3/40 and pay UI tax quarterly. Tax rate varies by employer experience rating (0.7% to 7.4% as of 2024).

Default LLCs are pass-through entities and do not pay state income tax at entity level. If the LLC elects corporate taxation, it must file Form N-30 and pay Hawaii corporate income tax (standard rate 4.4% to 6.4%).

All registered businesses must ensure their tax classifications (GET, withholding, etc.) remain accurate each year. No separate form, but ongoing compliance is required.

Chiropractic businesses on Oahu must obtain a business license and pay annual privilege tax. File with Form BLS-1. Other counties (Maui, Kauai, Hawaii) have similar but separate systems.

Separate registration required for businesses on the Big Island. File with County of Hawaii Business Tax Application.

Mandatory for all businesses operating on Kauai. Application available through Kauai County Finance Department.

Businesses must register and pay annual privilege tax. File with Maui County Business Tax Application.

Required for federal tax reporting. Apply online via IRS website. Even single-member LLCs may need EIN for banking or licensing.

Single-member LLCs report income on Schedule C (Form 1040). Multi-member LLCs file Form 1065. Federal income tax applies to net business income passed through to owners.

Applies to employers. FUTA rate is 6% on first $7,000 of each employee’s wages. Credit of up to 5.4% available for timely state UI payments.

Hawaii does not have a corporate franchise tax. Instead, the General Excise Tax (GET) functions as a gross receipts tax on all business activities, including chiropractic services at 4% rate.

Required for all businesses operating in Hawaii County. Chiropractic services subject to GET at 4.5% state + 0.5% county rate.

Applies to all businesses in Honolulu. Separate licenses needed for each location.

Required for all commercial activities countywide.

All businesses must obtain from Planning Department.

Must confirm property zoned for professional medical office use (typically B-1, B-2 commercial zones). Chiropractic offices prohibited in residential zones without variance.

Limited client visits (e.g., 4/day max in Honolulu); no signage; professional services like chiropractic often restricted due to traffic/parking.

Required for exam/treatment room buildouts, ADA accessibility ramps.

Covers vendors of PHRs and related entities. Most chiropractic practices using HIPAA-compliant EHRs are not subject to this rule. However, if using standalone apps or platforms that collect health data outside HIPAA, the FTC rule may apply. HIPAA-covered entities follow HHS breach rules instead.

All Hawaii LLCs must file an Annual Report each year during their filing quarter based on the month of formation. The report can be filed online via the DCCA eHawaii.gov portal.

Chiropractors must renew their individual license every two years. The renewal is tied to the licensee’s birth month. Licensees are notified 60 days in advance.

Chiropractors must complete 40 hours of approved continuing education every two years, including at least 2 hours in ethics or jurisprudence. Courses must be approved by the Federation of Chiropractic Licensing Boards (FCLB) or PACE.

Required if the business has employees. Used for federal tax reporting including Form 941, Form 940, and W-2 issuance. No annual renewal, but ongoing compliance with payroll tax deposits and filings is mandatory.

All Hawaii businesses must file General Excise Tax (GET) returns quarterly. Chiropractic services are subject to GET at 4.0% (neighbor islands) or 4.712% (Oahu). Employer withholding tax (if applicable) is also filed quarterly.

Self-employed individuals must make estimated tax payments quarterly if they expect to owe $1,000 or more in federal taxes after subtracting withholdings and credits.

Hawaii requires estimated tax payments if the expected tax liability is over $100. Form N-10 is used for individuals.

The current, unexpired license of the practicing chiropractor must be displayed in a conspicuous location at the place of business.

Employers must display current federal and state labor law posters, including minimum wage, OSHA, and workers’ compensation. Hawaii-specific posters include 'Employee Rights Under Hawaii Law' and 'Hawaii Workers’ Compensation Insurance.'

Businesses with 10 or more employees must maintain OSHA Form 300 (Log), Form 301 (Incident Report), and post Form 300A annually. Exempt if on the partial industry exemption list (chiropractic is not exempt).

All chiropractic practices handling protected health information (PHI) must comply with HIPAA. Includes maintaining a Notice of Privacy Practices, conducting risk assessments every year, staff training, and retaining records for 6 years.

Chiropractors must retain patient records for at least 7 years after the last date of service. HIPAA requires retention of compliance documentation (e.g., risk assessments, training logs) for 6 years.

Requires extinguishers, exits, no obstructions; chiropractic clinics classified as B-2 occupancy.

Required if building triggers NFPA 72 standards.

Sanitation Branch inspects for infection control, waste disposal, equipment sterilization. Not food-related.

Required for all employers with one or more employees, including part-time workers. Sole proprietors without employees are exempt but may elect coverage. Administered under Hawaii Revised Statutes (HRS) Chapter 386.

Not legally required by the State of Hawaii for chiropractic practices, but strongly recommended due to risk of patient injury or property damage. May be required by landlords or third-party contracts. Regulated by private agreement rather than statute.

Not explicitly mandated by Hawaii law for chiropractors, but strongly recommended. Required by most malpractice insurers and may be necessary for hospital privileges or third-party billing. The Hawaii Board of Chiropractic Examiners does not currently require proof of malpractice insurance for license renewal.

A $10,000 surety bond is required as part of the initial chiropractor license application in Hawaii. This is a license bond, not a performance bond. Source: Hawaii Administrative Rules (HAR) §16-82-10. Bond must be issued by a surety licensed in Hawaii.

Required under Hawaii’s Financial Responsibility Law (HRS §287-2) for any vehicle used in business. Minimum liability coverage: $20,000 bodily injury per person, $40,000 per accident, $10,000 property damage. Applies to all businesses operating vehicles in Hawaii.

Not legally required by Hawaii state law. However, if the chiropractic business sells physical products (e.g., orthotics, supplements, braces), product liability exposure exists. Coverage is strongly recommended but not mandated. No statutory requirement specific to chiropractors.

Not required unless the business serves or sells alcohol, which is highly unlikely for a chiropractic practice. Administered under Hawaii Department of Taxation liquor licensing rules. Not applicable to standard chiropractic operations.

Single-member LLCs without employees may use the owner's SSN, but obtaining an EIN is recommended for liability protection and banking purposes. Chiropractic practices with employees must have an EIN.

LLCs are pass-through entities by default. A single-member LLC is disregarded for federal tax purposes; multi-member LLCs are taxed as partnerships. Chiropractors must pay self-employment tax on net income. No entity-level federal income tax for LLCs unless elected otherwise.

Chiropractic offices must provide a safe workplace free of recognized hazards. Specific risks include ergonomic strain from patient handling, needlestick injuries (if using acupuncture), and bloodborne pathogens if applicable. OSHA’s Bloodborne Pathogens Standard (29 CFR 1910.1030) applies if exposure to bodily fluids occurs.

Chiropractic clinics are 'public accommodations' under ADA Title III. Must ensure physical access (entrances, exam rooms), accessible medical equipment (e.g., exam tables with transfer aids), and effective communication (e.g., auxiliary aids for patients with hearing or vision impairments). Website accessibility also required if services are advertised online.

Commercial buildings, including chiropractic offices, are subject to annual fire safety inspections. Requirements include fire extinguishers, smoke detectors, exit signs, and evacuation plans. Contact local fire department for specific schedule.

All public-facing businesses must ensure accessibility for people with disabilities. Applies to physical access, communication, and policies. No formal renewal, but ongoing compliance required.

All businesses, including LLCs and professional practices, must register with the state. County permits may also be required.

Must sign BAAs with any vendor that accesses patient records (e.g., EHR, billing, telehealth platforms).

If applicable, must comply with Resource Conservation and Recovery Act (RCRA) for hazardous waste. Used sharps must be stored in OSHA/EPA-compliant containers and disposed through licensed medical waste haulers. EPA does not regulate non-hazardous office waste.

Chiropractic advertising must be truthful and not misleading. Claims about treatment efficacy must be substantiated by competent and reliable scientific evidence. FTC enforces against deceptive claims (e.g., 'cure for back pain'). Online reviews and testimonials must be authentic and not incentivized without disclosure.

Covers minimum wage ($7.25/hr federally; Hawaii state law sets higher rate), overtime, recordkeeping. Chiropractors must classify employees vs. independent contractors correctly. Non-exempt staff (e.g., receptionists, assistants) must be paid overtime.

FMLA requires covered employers to provide up to 12 weeks of unpaid, job-protected leave per year for qualifying medical and family reasons. Most small chiropractic practices are exempt due to employee count.

All U.S. employers must verify identity and work authorization for employees using Form I-9. E-Verify is not federally required but may be mandated by state law or federal contracts.

Chiropractors use FDA-regulated medical devices (e.g., spinal adjusting instruments, electrical stimulation units, traction tables). Must use only FDA-cleared devices. Cannot modify or re-label devices. Adverse events must be reported under MedWatch (Form 3500A) if device-related injury or malfunction occurs.