Updated: Guidance for Chiropractic Procedures

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Guidance for Chiropractic Procedures

Dear Chiropractic Licensee:

The State recognizes this is an unprecedented and difficult time for Coloradans. We are making every effort to ensure that all Coloradans are safe and receive the best possible care over the next weeks and months. 

Governor Polis issued Executive Order (EO) D 2020 009 (Order) to prioritize essential healthcare services, to help ensure access to necessary personal protective equipment and other medical supplies and notably in light of more recent actions, to promote safe personal distancing to reduce putting individuals at great risk of contracting COVID-19.  

We are asking for all healthcare professionals to assess the essential need to provide services on a case-by-case, patient-by-patient basis to ensure compliance with the Order. To make your assessment, you need to consider that the only procedures or surgeries that are permissible under this Order are those that address the following:

  • There is a threat to the patient's life if the surgery or procedure is not performed;
  • There is a threat of permanent dysfunction of an extremity or organ system of the surgery or procedure is not performed;
  • There is a risk of metastasis or progression of staging of a disease or condition if the surgery or procedure is not performed; or
  • There is a risk that the patient's condition will rapidly deteriorate if the surgery or procedure is not performed and there is a threat to life, or to an extremity or organ system or of permanent dysfunction or disability.

As the March 27th guidance indicated, Executive Order D 2020 009 does allow for the discretion of the provider to conduct a chiropractic procedure in those circumstances where an injury or illness is at risk of progression or the patient’s health is at risk of rapid deterioration. You will note that DORA has also listed chiropractors as a critical service, provided that the services performed are within these confines of the Executive Order and are a conservative assessment of procedures that are critical on a case-by-case basis.

We recognize this is a difficult time, but we are asking all our professionals to comply with this order so that the spread of virus and the risk to our population is mitigated wherever possible. Thank you.


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