645—43.12 (151) Chiropractic assistants. The requirements of this rule shall become effective on July 1, 2009.
	 43.12(1) Supervisory responsibilities of the chiropractic physician.
	  a.   	 The supervising chiropractic physician shall ensure at all times that the chiropractic assistant has the necessary training and skills as required by these rules to competently perform the delegated services.
	  b.   	 The supervising chiropractic physician may delegate services to a chiropractic assistant that are within the scope of practice of the chiropractic physician in a manner consistent with these rules. Violation of these rules shall be grounds for discipline under 645—Chapter 45.
	  c.   	 A chiropractic physician shall not delegate to the chiropractic assistant the following:
	 (1) 	 Services outside the chiropractic physician’s scope of practice;
	 (2) 	 Initiation, alteration, or termination of chiropractic treatment programs;
	 (3) 	 Chiropractic manipulation and adjustments;
	 (4) 	 Diagnosis of a condition.
	  d.   	 A supervising chiropractic physician shall ensure that a chiropractic assistant is informed of the supervisor and chiropractic assistant relationship and is responsible for all services performed by the chiropractic assistant.
	 43.12(2) Education requirements for chiropractic assistants.
	  a.   	 The supervising chiropractic physician shall ensure that a chiropractic assistant has completed a chiropractic assistant training program. A chiropractic assistant training program shall include training and instruction on the use of chiropractic physiotherapy procedures related to services to be provided by the chiropractic assistant. Any chiropractic assistant training program shall be provided by an approved CCE-accredited chiropractic college.
	  b.   	 Chiropractic assistants performing active chiropractic physiotherapy procedures are required to complete 12 hours of instruction, of which 6 hours shall be clinical experience under the supervision of the chiropractic physician.
	  c.   	 Chiropractic assistants performing passive chiropractic physiotherapy procedures are required to complete 12 hours of instruction, of which 6 hours shall be clinical experience under the supervision of the chiropractic physician.
	  d.   	 If both paragraphs “b” and “c” apply, then 12 hours of instruction for active chiropractic physiotherapy procedures and 12 hours of instruction for passive chiropractic physiotherapy procedures shall be required for a total of 24 hours of instruction.
	  e.   	 The supervising chiropractic physician shall provide a written attestation to the chiropractic college that the chiropractic assistant has completed the clinical experience. The college shall issue a separate certificate of completion for the active or passive chiropractic training program as defined in paragraphs “b,” “c” and “d” of this subrule.
	  f.   	 The chiropractic physician shall maintain in the chiropractic physician's primary place of business proof of the chiropractic assistant's completion of the training program. Copies of such documents shall be provided to the board upon request.