CXT 50 Hour Training Program

Congratulations to the participants of our Spring CXT Training Course!  Their hard work paid off with all successfully passing their exams.  They are now working to complete their internship hours!

Dates have been scheduled and registration is open for the 2024 Fall CXT 50-Hour Training Course!

This course will take place the weekends of October 5-6 and October 19-20.  Applicants must be present for all dates and must have an email address, computer access, and internet service to complete the distance learning portion of the course.  All classroom and distance learning work must be completed before course credit is given.

If sufficient registration is not received by the deadline this course may be cancelled.

CXT CE: If you need CXT CE, we are offering 3 date options within the training course for CE (see Audit Registration form in packet). This will be the final in person opportunity for CXT CE in 2024.


Download Registration Forms

Register Online for CXT 50-Hour Training Course

Register for CXT CE

Per the General Rules Governing Chiropractic X-Ray Technologists (0260-03-.03), prior to engaging in practice as a chiropractic x-ray technologist (CXT) in Tennessee, a person must hold a current Tennessee certification.

To become certified as a CXT in Tennessee, a person must comply with the following training requirements prior to submitting an application (for a full list of requirements view application here):

  • Completion of an approved 50 hour instruction program,
  • Passage of the limited permit examination
  • Completion of 1,040 hours of supervised clinical internship

The TCA Chiropractic X-Ray Technologist (CXT) 50 Hour Training Program is a hybrid educational program with two live weekend sessions for a total of 24 classroom hours and a 26-hour distance learning component. Applicants must have an email address, computer access, and internet service to complete these requirements. All classroom and distance learning work must be completed before course credit is allowed.

Educational sessions will provide participants with a fundamental knowledge of the nature and production of x-rays, along with radiation protection, radiographic techniques, patient care and positioning, equipment maintenance, radiographic anatomy, x-ray quality control, and instruction on Tennessee statues and rules pertaining to the chiropractic x-ray technologist. A primary objective of this seminar will be to prepare participants to obtain a radiograph with the greatest amount of clinical benefit and with the least possible risk to both the patient and the operator.

Training program classes are scheduled based on demand.  If you are considering becoming a Chiropractic X-Ray Technologist, email to request your name and contact information be added to the list of interested applicants.  This will ensure that you receive registration information as soon as it becomes available.

CXT STATE EXAM (Limited Permit Exam)*
The TCA’s CXT 50 Hour Training registration includes all CXT study materials.  There is a separate exam fee.

*The 2024 Spring TN CXT Examination will be provided online via live remote proxy. Upon completion of the classroom training, students will be given access to the online exam, to be taken on the Exam Day at the time of their choosing, but no later than the following Friday, April 12. Examinees will be proctored via a live video proxy website using the individual’s webcam/audio feed from start to finish of their exam session.

In order to utilize the online exam, individuals must be able to meet the technical requirements which may be referenced here: For those who are not able to meet these requirements, an in-person examination opportunity will be offered. All exam applicants must adhere to testing-taking requirements provided in your CXT Handbook.

Following the initial training session, CXT examinees will receive an email from (our live proxy web-site) with instructions on how to set-up your ProctorFree account in preparation for the online Examination. Additionally, examinees will receive email notification once both the Examination answers and proctored session have been fully reviewed (typically within 72 business hours) to confirm results and provide important information related to the internship and licensure process. Clinical hours may not begin until notification of passing score.

Upon notification of passing the required limited permit exam, the individual may begin a supervised clinical internship
and is exempt from certification requirements, as defined in Rule 0260-03-.03, for one (1) year, unless an extension is granted by the Board.

Click Here to Email Interest in CXT Training