Limits on Delegation of Patient Care Functions

(1) A licensed chiropractor shall be responsible for all patient care provided by him or her, or by any of his or her agents or employees, and shall be responsible for any and all acts or omissions of such agents or employees. A licensed chiropractor shall not delegate any clinical function for which licensure, registration or certification is required under any other applicable provision of state law or regulations to any person who does not possess the appropriate license, registration or certification required by said law or regulation. (3) A licensed chiropractor shall not delegate any of the following clinical functions to any person who is not duly registered to practice Chiropractic in the Commonwealth of Massachusetts: (a) Performing any primary Chiropractic procedure as defined in 233 CMR 2.01: Definitions; (b) Initiating or altering any treatment plan or regimen without prior evaluation and approval by a licensed chiropractor; (c) Modifying a specific treatment procedure without the prior approval of the licensed chiropractor; (d) Interpreting clinical data or rendering opinions about such data; or (e) Rendering opinions about a patient’s current status or prognosis.