Chiropractic Permits & Licenses in San Antonio, Texas

Required for all LLCs; online filing available via SOSDirect

Requires graduation from CCE-accredited chiropractic college, passing NBCE Parts I-IV exams, Texas jurisprudence exam; criminal background check required

LLCs filing with SOS for statewide use; county clerk for single county. Check both if applicable.

Required in addition to federal DEA registration for chiropractors authorized to prescribe certain drugs under Texas Occupations Code

All Texas LLCs must file annual Franchise Tax Report; E-Z Computation Worksheet available for simplified reporting

Most chiropractic services exempt, but product sales require permit. Apply online via Webfile.

Chiropractic services themselves are not subject to Texas sales tax. However, tangible personal property sold (e.g., back braces, therapeutic devices) may be taxable. Registration required if making taxable sales.

All Texas LLCs must file franchise tax report annually, even if no tax is due (no-tax-due filing). Based on 'taxable margin' and apportioned to Texas. Applies to all businesses, regardless of industry.

Required for employers who withhold Texas withholding tax (though Texas has no state income tax, this applies to certain types of compensation such as non-resident wages or specific retirement plans). Most employers in Texas do not withhold state income tax, but registration is required if applicable.

Applies to all employers with employees in Texas. Chiropractic practices with staff must register. Rate varies based on experience rating after first year.

Not all Texas cities impose a local business tax. Examples: Dallas charges a Business Tax Registration Fee; Houston has a Regulatory Fee for certain professions. Check with city clerk. Some cities require annual renewal.

LLCs with employees or multiple members must have EIN. Single-member LLCs without employees may use SSN, but EIN is recommended. Required for federal tax compliance.

By default, single-member LLCs are disregarded entities (taxed as sole proprietorship); multi-member LLCs are taxed as partnership. Can elect to be taxed as corporation. Must file Form 8832 if changing classification. Chiropractic LLCs follow same rules.

Applies to employers meeting FUTA thresholds. Most chiropractic practices with employees will be subject. Registration occurs via EIN and Form 940 filing.

Chiropractic offices require Certificate of Occupancy first. Austin Municipal Code 4-4. Fees from 2024 schedule.

Not required in incorporated cities like Austin. Assumes potential county operation.

Must verify property zoned for medical/professional offices. Austin Land Development Code Chapter 25-2.

Required for all commercial spaces including chiropractic offices.

Common for medical office buildouts (x-ray rooms, treatment areas). Austin Building Code.

Land Development Code 25-11. Chiropractic business names allowed in commercial zones.

A single-member LLC is disregarded for federal tax purposes and reports income on Schedule C of Form 1040. Multi-member LLCs file as a partnership (Form 1065). Chiropractors must pay self-employment tax on net earnings. No separate entity-level tax unless elected as a corporation.

Chiropractic clinics must comply with OSHA’s General Duty Clause requiring a workplace free from recognized hazards. Specific standards may include bloodborne pathogens (if performing minor procedures), hazard communication (chemicals), and emergency action plans. No requirement for clinics with <11 employees unless state plan (Texas) imposes additional rules.

Chiropractic offices are 'public accommodations' under ADA Title III. Must ensure physical access (ramps, door widths), accessible restrooms, and communication access for patients with disabilities. Websites must also be accessible under DOJ guidance (see 28 CFR § 36.201).

Most chiropractic offices do not generate federally regulated hazardous waste. However, if using solvents or mercury-containing devices, must comply with RCRA. Typically, only sharps and biohazardous materials (regulated by OSHA, not EPA) are present. EPA focuses on industrial waste; DOT regulates transport.

Chiropractic clinics must ensure all advertising is truthful and not misleading. Claims about treatment efficacy must be substantiated. Testimonials must reflect real experiences. Applies to websites, social media, and print ads. FTC Act § 5 prohibits deceptive practices.

Required for chiropractic offices with waiting rooms. IFC 2021 adopted.

Recommended for medical offices with equipment/pharma storage.

Not typically required for chiropractic (no food service). Biomedical waste may trigger.

Prohibited for client visits; administrative work only. LDC 25-2-211.

Texas does not mandate workers' compensation for all employers. Employers may choose to opt-out under Texas Labor Code § 406.002, but if they opt-in, coverage is mandatory for all employees. Most healthcare employers, including chiropractors, who opt-in must cover all employees. Opting out requires filing with TDI.

Not legally required by Texas state law for chiropractic businesses, but strongly recommended. Often required by commercial lease agreements or third parties. Covered under Business Owner's Policy (BOP) in many cases.

Not explicitly mandated by Texas law for licensure, but strongly recommended and often required by hospitals, group practices, or third-party payers. Required in some counties for participation in state health programs. Chiropractors are subject to Texas Medical Liability Act (TMLA) if sued.

A $10,000 surety bond is required for individual chiropractic licensure in Texas, as an alternative to professional liability insurance. The bond is filed with the Texas Board of Chiropractic Examiners. This is not a business bond but a personal license requirement. See TBCE Rule §121.1(b).

Required under Texas Transportation Code §601.051. Applies if business owns or regularly uses vehicles for patient transport, mobile services, or deliveries. Personal auto policies do not cover business use.

Not legally required in Texas, but highly recommended if selling health-related products. Chiropractors selling supplements or medical devices may face product liability claims. Coverage typically included in general liability or BOP policies with product liability endorsement.

Not applicable to chiropractic practices unless alcohol is served or sold. No known chiropractic clinics in Texas serve alcohol as part of services. Alcoholic Beverage Commission (ABC) only regulates licensed alcohol vendors.

All LLCs with employees or those that file employment, excise, or alcohol/tobacco/firearms returns must have an EIN. Single-member LLCs without employees may use the owner’s SSN, but obtaining an EIN is recommended for liability protection. Chiropractic practices typically hire staff, making EIN mandatory.

Self-employed chiropractors (including LLC owners) must make estimated tax payments quarterly if they expect to owe $1,000 or more in federal taxes.

Businesses exceeding the revenue threshold must make estimated payments. Most small chiropractic practices fall below this threshold and are exempt.

Chiropractic practices that bill electronically to insurance are covered entities under HIPAA and must maintain privacy policies, conduct risk assessments, and train staff. No formal annual filing, but compliance is auditable.

All U.S. employers, including chiropractic clinics, must complete Form I-9 for each employee to verify identity and work authorization. Employers must retain forms for 3 years after hire or 1 year after employment ends, whichever is later.

Chiropractic clinics must comply with FLSA for minimum wage ($7.25/hr federally), overtime (1.5x for hours over 40/week), and recordkeeping. Exempt status for chiropractors themselves does not extend to assistants or administrative staff.

Covers eligible employees for up to 12 weeks of unpaid, job-protected leave for serious health conditions, birth, or family care. Most small chiropractic clinics do not meet the 50-employee threshold, but multi-location practices may.

Chiropractic adjustment tables, traction devices, and electrical stimulators are Class I or II medical devices regulated by FDA. Must be legally marketed (cleared or exempt). Clinics must not modify or misuse devices. No federal license required to use, but compliance with labeling and safety standards is mandatory.

Applies to non-HIPAA entities that experience a breach of unsecured personal health records. Most chiropractic clinics are HIPAA-covered, so HIPAA rules apply instead. However, if a clinic uses third-party apps not bound by HIPAA, FTC rule may apply. Rare for traditional practices.

Chiropractic practices are 'covered entities' under HIPAA if they transmit health information electronically (e.g., billing). Must implement privacy policies, security safeguards (e.g., encryption), and breach reporting (within 60 days). Applies to all patient records, regardless of size. Enforced by OCR.

All Texas LLCs must file an annual franchise tax report, even if no tax is due (zero report). Due May 15 each year. Chiropractic practices structured as LLCs are subject to this requirement regardless of revenue.

Texas does not require periodic renewal of LLC registration. The initial Certificate of Formation is a one-time filing. However, the business must remain compliant with franchise tax reporting and maintain a registered agent.

Rule 782.11 requires retention of patient records for at least 7 years after the last date of service. Minors' records must be kept for 7 years past age 18.

Rule 782.5 requires the display of the current, valid license of each practicing chiropractor in a conspicuous location visible to the public.

If the chiropractic practice operates under a name other than the legal LLC name (e.g., "Texas Spine & Wellness"), the assumed name certificate must be displayed at the place of business.

While Texas does not mandate statewide fire inspections for medical offices, local jurisdictions (cities or counties) often require periodic fire safety inspections. Check with local fire marshal.

Some Texas counties or cities require periodic health inspections for medical facilities, especially if they use sterilization equipment or administer injections. Not universal; verify with local authority.

Most chiropractic LLCs are for-profit and not required to file Form 990. Only applies if the business has 501(c)(3) or similar status.

Individual chiropractors must renew their license every two years. Renewal occurs on December 31 of odd-numbered years. The renewal includes attestation to continuing education compliance.

Chiropractors must complete 30 hours of approved continuing education (CE) every two years, including 2 hours in ethics/jurisprudence and 2 hours in pain management. CE must be completed before license renewal.

Employers with 11 or more employees must maintain OSHA Form 300 (Log of Work-Related Injuries), Form 301 (Incident Report), and post Form 300A (Summary) from Feb 1 to April 30 annually. Chiropractic clinics with sufficient staff must comply.

Employers in Texas who provide workers' compensation insurance must post Form DWC-6 (Notice to Employees) in a conspicuous location. Even non-subscribers must post a specific disclaimer (Form DWC-7).

If the chiropractic LLC has elected S-corp status, it must file Form 1120-S annually. Most LLCs with multiple members or seeking pass-through taxation elect this status.

Multi-member LLCs not electing S-corp status are treated as partnerships and must file Form 1065. Most chiropractic practices with multiple owners use this structure.

Single-member LLCs are disregarded entities for federal tax purposes and report income on Schedule C of Form 1040.