Chiropractic Therapy Assistant

The 101st Tennessee General Assembly enacted legislation effective June 2000 requiring that all chiropractic assistants performing therapy on patients be licensed and certified by the state.

It is important to be knowledgeable of your state’s requirements, if applicable, for chiropractic assistants to become certified or licensed.  For CTA Program information for those outside of Tennessee, click here.

The Tennessee Board of Chiropractic Examiners requires completion of:

  • an approved 50-hour instructional program,
  • passage of the CTA State Exam, and
  • accrual of 1,200 clinical internship hours to become a state-certified CTA.

In an effort to benefit you and your doctor’s practice, this structured program has been created in a distance learning format designed to prepare you for all the requirements of a Chiropractic Therapy Assistant.  Included in this program are the CTA textbook, video modules and practical workbook which serves as your guide to complete your study.

Every chiropractic assistant who seeks to perform therapy in Tennessee must meet educational criteria and pass the state examination prior to performing CTA duties.  Program applicants are eligible to apply for the CTA State Exam upon completion of educational components.

Upon passing the exam, the individual may begin a supervised clinical internship
and is exempt from certification requirements, as defined in Rule 0260-05, for one (1) year, unless an extension is granted by the Board.


CTA 50 Hour Distance Learning Program Application

CTA Program Frequently Asked Questions

The CTA State Exam is conveniently offered both online and in-person.

CTA State Exam Online via Live Remote Proxy
The TN CTA State Examination is offered online to add convenience for those who prefer online testing or who have schedule or travel limitations. For the online examination, instead of an in-person proctor, examinees are proctored via a live video proxy website using the individual’s webcam/audio feed from start to finish of their exam session.

You will receive email notification of your exam score once the exam answers and proctored session have been fully reviewed (typically within 72 business hours), along with important information pertaining to TN CTA licensure.

HARDWARE REQUIREMENTS: PC OR MAC (phones, tablets, and Chromebooks will not work), Web camera & mic, high speed internet connection (no hotspot or tethered connections).


CTA State Exam at the TCA Office 
Tuesdays and Thursdays at 2 p.m. CT are reserved at the TCA office in Nashville for CTA State Examinations.  Special requests for alternate days may be made. To schedule, note the preferred day and time on the State Exam Application; exam applications for in-person locations must be submitted at least a week in advance.

We provide an exam opportunity at our regional seminars, for further convenience.

2023 Regional Exam Opportunities include*:

  • Saturday, February 5 – Memphis, TN (West Seminar)
  • Saturday, February 25 – Kingsport, TN (Upper East Seminar)
  • Saturday, June 24 – Knoxville, TN (Spring Seminar)
  • Saturday, August 26 – Murfreesboro, TN (Southern Chiropractic Conference)

*To accommodate practices across the state, the TCA accepts interest in regional exams and will schedule dates when sufficient interest is confirmed.

Click Here to Register for the TN CTA Exam

If you have questions regarding the CTA Program, please email: