<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".03" citation="COMAR 10.43.13.03" title_num="10" subtitle_num="43" chapter_num="13" heading="Standards of Practice.">
  <paragraph num="A.">
    <text>A chiropractor and chiropractic assistant shall concern themselves primarily with the welfare of the patient.</text>
  </paragraph>
  <paragraph num="B.">
    <text>A chiropractor or chiropractic assistant who suffers from a physical, mental, or emotional impairment, including chemical abuse, that impacts the individual's ability to practice chiropractic or provide chiropractic assistance shall seek professional treatment and refrain from the practice of chiropractic or the practice of chiropractic assistance until the impairment no longer exists or reasonable accommodations can be made.</text>
  </paragraph>
  <paragraph num="C.">
    <text>A chiropractor and chiropractic assistant shall:</text>
    <paragraph num="(1)">
      <text>Use professional discretion and integrity in relationships with a member of the health care community;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Be professional in conduct, with honesty, integrity, self-respect, and fairness;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Remain free from conflict of interest while fulfilling the objectives and maintaining the integrity of the chiropractic profession;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Provide accurate fee information to the patient, the individual responsible for payment for treatment, and the insurer;</text>
    </paragraph>
    <paragraph num="(5)">
      <text>At all times respect the patient's dignity, autonomy, and privacy;</text>
    </paragraph>
    <paragraph num="(6)">
      <text>Practice chiropractic only as defined in the scope of practice set forth in Health Occupations Article, §3-101(f) and (g), Annotated Code of Maryland;</text>
    </paragraph>
    <paragraph num="(7)">
      <text>Provide chiropractic assistance only within the parameters set forth in Health Occupations Article, §3-404, Annotated Code of Maryland, and COMAR 10.43.07;</text>
    </paragraph>
    <paragraph num="(8)">
      <text>Cooperate with any lawful investigation conducted by the Board, including:</text>
      <paragraph num="(a)">
        <text>Furnishing information requested in a timely manner as directed by the Board;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Complying with a subpoena;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Responding to a complaint at the request of the Board; and</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Providing meaningful and timely access to relevant patient records; and</text>
      </paragraph>
    </paragraph>
    <paragraph num="(9)">
      <text>Report to the Board, or other appropriate authority, conduct in the practice of chiropractic that indicates a violation of:</text>
      <paragraph num="(a)">
        <text>This chapter;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Health Occupations Article, Title 3, Annotated Code of Maryland; or</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Any other law, including but not limited to aiding or abetting the unauthorized practice of chiropractic.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="D.">
    <text>A chiropractor or chiropractic assistant may not:</text>
    <paragraph num="(1)">
      <text>Misrepresent credentials, qualifications, or affiliations and shall attempt to correct others who misrepresent the chiropractor's or the chiropractic assistant's credentials, qualifications, or affiliations;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Knowingly engage in or condone behavior that is fraudulent, dishonest, or deceitful, or involves moral turpitude;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Engage in a commercial activity which conflicts with the duties of a chiropractor and chiropractic assistant;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Perform chiropractic on a patient if a contraindication against chiropractic treatment exists;</text>
    </paragraph>
    <paragraph num="(5)">
      <text>Discriminate against a patient or a health care provider based on race, religion, age, gender, sexual orientation, national origin, or disability;</text>
    </paragraph>
    <paragraph num="(6)">
      <text>Intimidate, threaten, influence, or attempt to influence any person regarding any violation of law or regulation; or</text>
    </paragraph>
    <paragraph num="(7)">
      <text>Aid or abet any individual violating or attempting to violate any provision of law or regulation.</text>
    </paragraph>
  </paragraph>
</regulation>