Part IV — Assessment Information
US · Examination information
Part IV
This assessment does not have a question bank.
- Provider
- NBCE Assessment Center, Greeley, Colorado
- Format
- Eight stations with simulated patients: seven case management encounters followed by a written SOAP note, graded on Patient Evaluations, Patient Examination, Clinical Decision Making & Case Management, Interpersonal & Communication Skills and Documentation, with content areas Musculoskeletal System, Neurological Conditions, Cardiovascular/Pulmonary Conditions, Gastrointestinal Conditions, Endocrine Conditions, Renal/Urological Conditions and Malignant Conditions; and one technique station with ten chiropractic adjustments (doctor position, patient position, line of drive) covering cervical, thoracic, lumbar, pelvic/sacral and extremity adjusting. Encounters are video-recorded for scoring. Offered Friday through Sunday, 48 weeks a year; after May 17, 2026 only at the NBCE Assessment Center.
Examination sources
- NBCE - What's Changing in Part IV? Elevating Chiropractic Assessment (webinar slides)
Content Areas slide, first listed area
- NBCE - What's Changing in Part IV? Elevating Chiropractic Assessment (webinar slides)
Content Areas slide, last listed area
- NBCE - What's Changing in Part IV? Elevating Chiropractic Assessment (webinar slides)
Grading Domains slide, heading
- NBCE - What's Changing in Part IV? Elevating Chiropractic Assessment (webinar slides)
Grading Domains, Technique Station slide
- NBCE Part IV Exam Transition graphic
Transition graphic, NBCE Assessment Center in Greeley ONLY column, test format row
- NBCE Annual Report 2025
Annual Report 2025 page 5, Part IV Pilot Exams, left column
- NBCE - What's Changing in Part IV? Elevating Chiropractic Assessment (webinar slides)
What's Changing? slide, Documentation
- NBCE - What's Changing in Part IV? Elevating Chiropractic Assessment (webinar slides)
What's Changing? slide, Video Recording
- NBCE - What's Changing in Part IV? Elevating Chiropractic Assessment (webinar slides)
What's Changing? slide, Patient Encounters
- NBCE Part IV Advancement and Development Project - Overview of Changes to the Part IV Exam
Overview of Changes, What is changing, Format bullet, first sentence
- NBCE Annual Report 2025
Annual Report 2025 page 12, Launching the New Part IV Exam, technique station sentence
- NBCE Part IV Advancement and Development Project - Overview of Changes to the Part IV Exam
Page 5, "How soon will an examinee be able to retake the Part IV after failing?" answer
- NBCE Annual Report 2025
Annual Report 2025 page 12, right column, final line of the transition paragraph
- NBCE Annual Report 2025
Annual Report 2025 page 5, right column, Student Countdown Navigation paragraph
- NBCE home page (www.nbce.org)
NBCE home page, EXAMINEES / MyNBCE.ORG menu, second item
- NBCE - What's Changing in Part IV? Elevating Chiropractic Assessment (webinar slides)
What to Expect, Scheduling your exam, Online Portal
- NBCE - What's Changing in Part IV? Elevating Chiropractic Assessment (webinar slides)
What to Expect, Scheduling your exam, Testing Days
- NBCE Part IV Exam Transition graphic
Transition graphic, NBCE Assessment Center in Greeley ONLY column, timeline row, first line
- NBCE Part IV Exam Transition graphic
Transition graphic, NBCE Assessment Center in Greeley ONLY column, timeline row, second line
Related license preparation
This examination may be required or accepted as an alternative, depending on the license and application pathway.
- License to Practice Chiropractic; Military Spouse Temporary License to Practice Chiropractic
- Chiropractic Acupuncture Certification; Chiropractic Medicine Faculty Certificate; Chiropractic Physician
- temporary permit; Chiropractor License; Chiropractor Limited Temporary Permit; Chiropractic Graduate Student Permit
- Louisiana Chiropractic Internship; License to Practice Chiropractic; Temporary Military Chiropractic Permit
- License to Practice Chiropractic; License to Practice Chiropractic with the Right to Practice Physical Therapy; Temporary License to Practice Chiropractic
- Chiropractic license; Chiropractic insurance consultant certification; Meridian therapy/acupressure/acupuncture certification; Temporary chiropractic license
- Certificate to practice acupuncture; License to practice chiropractic; temporary acupuncture certificate; Temporary license to practice chiropractic; Special limited license to practice chiropractic
- Animal Chiropractic Diagnosis and Treatment Certification; Chiropractic Claims Consultant Certificate; Dry Needling Specialty Registration; Homeopathy Specialty Registration; renewal license for inactive non-resident licensees; renewal license for inactive resident licensees; Original License to Practice Chiropractic; Naturopathy Specialty Registration; Retired Chiropractic Renewal License; Post-doctorate Chiropractic Specialty Registration; Temporary Chiropractic License
- certification of special competency in minor surgery and/or proctology; certification of special competency in obstetrics; Chiropractic physician license
- License to Practice Chiropractic; Provisional License; Temporary Faculty License; Temporary License