Community Health Centers

"Better Health and a Better World Through Chiropractic."

Chiropractic Access to Marginalized Populations

C.A.M.P.

Poor

35 American States and 4 Canadian Provinces have chiropractic benefits in their Medicaid and Provincial Health Plans, respectively. Fee for service rates paid for chiropractic in these programs are usually less than 50% of the regular chiropractic visit fee resulting in three possible outcomes:

Patient pays the difference or DC greatly discounts fees
Doctor stops accepting patients under these programs
Patients don't come in due to financial hardships

The Chiropractic Diplomatic Corps has been successful in placing DCs in specially authorized nonprofit Community Health Centers where payment by the government is equal to local medical visits. So, these facilities can afford to contract with chiropractic providers to care for their Medicaid patients as long as the DC is willing to come onsite.

To protect these facilities from profiteering or unscrupulous providers, The CDC will only work with individual DCs of good reputation and able to work in an integrated setting. Interested DCs can contact the CDC by completing the following form.

Please complete this registration form

Once registered, we will contact you by phone.
Complete the Online Application and hit the submit button only once.

When filling out the form, please use upper and lower case letters appropriately
(e.g. Mary Smith, DC not MARY SMITH, DC)

Date of Registration:
Position Desired:
Present Position:	3 Scroll to select type

Please complete the Contact Information section.
Please note: this section is CONFIDENTIAL.

First Name:		Middle Initial:
Last Name:
Street Address:		Apt:
City:		State:
County:		Zip:
Home Telephone:
Work Telephone:		May we call you at work?
E-Mail:	* (required)

Do you prefer to be contacted by:
Email; Phone; Both

Emergency Contact Information:
(Please choose an emergency contact who does not live with you.)

Name:		Relationship:
Address:
Telephone:		Email:

Where did you hear about us? (Please indicate source.)

Internet (name of site)
Journal (name of journal)
Newspaper (name of paper)
Personal Referral (name of referring party)
Other (please specify)

Language Ability:

	I speak and write English fluently
	I speak and write Spanish fluently
	I speak basic Spanish for healthcare job-related needs

I also speak or write

Desired Work Status:

Full-Time

Part-Time

Contract

Travel

States you hold active license to practice chiropractic:

Diploma/Assoc Degree: (Date, Name of degree, Academic institution, City, Country)

Bachelor's Degree: (Date, Name of degree, Academic institution, City, Country)

Master's Degree: (Date, Name of degree, Academic institution, City, Country)

Chiropractic: (Date, Name of degree, Academic institution, City, Country)

Other: (Date, Name of degree, Academic institution, City, Country)

Post-Graduate Courses
Identify post-graduate courses which you have taken.
Indicate date received, name and location of where the course was taken.

Professional Membership(s)
Specify professional memberships, affiliations, civic, etc.,
and expiry dates (e.g. AnyState Board of Chiropractic, expiry December 31, 2002)

Employment Eligibility: (please check all that apply)

The United States

US Citizen

Valid US Green Card Holder

Valid US Work Visa Holder (specify type)

Canada

Canadian Citizen

Canadian Landed Immigrant Status

Valid Canadian Work Visa Holder (specify type)

European Union

Citizen of EU Country (specify)

Valid EU Work Permit Holder (specify type)

Other Country/Countries

Citizen/Holder of Valid Work Permit (specify)

Please indicate the number of years you have worked full-time in Chiropractic:

Less than 1 year
1 year
2 years
3 years

4 years
5-7 years
8-10 years
Over 10 years

If you have a resume prepared, you can add it here. (optional)

You can also email your resume to info@ChiropracticDiplomatic.com.
We will keep your resume on-file and contact you when there is an opening.

By clicking here I certify that the information provided in this form is true and accurate.