# COMAR Title 10 — Maryland Department of Health

## Subtitle 43 — Board of Chiropractic Examiners

### Chapter 13 — Code of Ethics

#### Regulation .05 Professional Boundaries.

*COMAR 10.43.13.05*

A. A chiropractor and chiropractic assistant shall:

  (1) Maintain professional boundaries, even when the patient initiates crossing the boundaries of the professional relationship; and

  (2) Respect and maintain professional boundaries and respect the patient's reasonable expectation of professional conduct.

B. A chiropractor and chiropractic assistant may not:

  (1) Exploit a relationship with a patient, staff member, or student for the chiropractor's or chiropractic assistant's personal advantage including, but not limited to, a personal, sexual, romantic, or financial relationship;

  (2) Engage in a sexually intimate act with a patient; or

  (3) Engage in sexual misconduct, which includes but is not limited to:

    (a) Therapeutic deception;

    (b) Non-bona-fide treatment; and

    (c) A sexually exploitative relationship.

C. A chiropractor and chiropractic assistant may not engage in inappropriate behavior with other practice staff including sexual advances, harassment, discrimination, exploitation, retaliation, and other unprofessional conduct.