Montana Chiropractic Panel Exemption Survey

The Montana Chiropractic Legal Panel (MCLP/Panel) is funded through an annual assessment levied on all chiropractors covered by the Montana Chiropractic Legal Panel Act. The assessment is set each year and apportioned among chiropractors licensed in Montana. Under certain conditions, the Panel may exempt a chiropractor from this assessment.

Please complete this brief survey to determine if you qualify for an exemption.

Question Title

* 1. Please complete your contact information with your preferred mailing address.

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