Get Address Changes - Ohio State Chiropractic Board - Chirobd Ohio

This guide provides a clear and supportive overview of how to complete the ADDRESS CHANGES form for the Ohio State Chiropractic Board. Timely reporting of your address change is essential to maintain your licensure and receive important communications.

Follow the steps to complete the ADDRESS CHANGES form effectively.

1. Click the ‘Get Form’ button to access the ADDRESS CHANGES form. This will allow you to open the document in an online editor.
2. Begin filling out the form by entering your full name in the designated field, followed by your license number.
3. Indicate which address is changing by checking the appropriate box for either office, home, or both.
4. Provide the details of the clinic by filling in the clinic name, street address, city, state, and zip code.
5. Enter your phone number, county, fax number, website, and email address as prompted in the respective fields.
6. Fill out your home address, city, and home phone number in the designated areas.
7. Confirm if your home phone number is unlisted by checking the appropriate box for 'Yes' or 'No'.
8. Review all entered information for accuracy before submission.
9. Submit the completed form by mailing, faxing, or emailing it to the Ohio State Chiropractic Board at the provided contact information.
10. Ensure you save a copy of the completed form for your records, and consider downloading or printing it for further reference.

Start completing your ADDRESS CHANGES form online today to ensure your licensure remains active and updated.