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  Chir 4.01Authority and purpose. This chapter is adopted under authority in ss. 15.08 (5) (b), and 227.11, Stats., and ch. 446, Stats., to interpret the statutory definition of chiropractic practice specified in s. 446.01 (2), Stats. establish standards for the practice of chiropractic.  
Section 2.   Chir 4.02 (1) is repealed and recreated to read:
  Chir 4.02 (1)“Chiropractic science" means the body of organized knowledge related to identifying the cause of departure from health of the patient and the treatment of such conditions without use of drugs or surgery. “Chiropractic science” includes using patient examination to create a diagnosis that serves as a basis for forming clinical judgments of a patient’s condition, degree or nature of treatment needed, and management and rehabilitation necessary for the restoration and preservation of health.
Section 3.   Chir 4.02 (1m) is created to read:
  Chir 4.02 (1m)“Examination" includes any of the following:
  (a) Patient history.
  (b) Evaluation techniques.
  (c) Lab analysis.
  (d) Use of analytical instruments to determine vital signs and screen health status.
  (e) Orthopedic and neurological testing.
  (f) Range of motion and muscle testing.
  (g) Diagnostic evaluation or imaging of the body.
Section 4.   Chir 4.02 (2) is amended to read:
  Chir 4.02 (2)“Instrument" means a device employed or applied in accordance with the principles and techniques of chiropractic science, which is used in the practice of chiropractic to diagnose, analyze, treat, or prevent the cause of departure from complete health and proper condition of the human patient.
Section 5.   Chir 4.02 (3) to (5) are created to read:
  Chir 4.02 (3)“Physiotherapy” has the meaning given “physiotherapy treatment” in s. Chir 10.01 (1r).
  (4)“Practice of chiropractic” has the meaning given in s. 446.01 (2), Stats.
  (5)“Treatment” includes any of the following:
  (a) Adjustment or manipulation of the spinal column, skeletal articulations, and adjacent tissue.
  (b) Physiotherapy and exercise rehabilitation.
  (c) Education, lifestyle modification, and counseling.
Section 6.   Chir 4.03 is repealed.
Section 7.   Chir 4.04 (2) (a) is amended to read:
  Chir 4.04 (2) (a) X-ray procedures that require introduction of drugs, clinical dyes, or radioactive substances;.
Section 8.   Chir 4.04 (Note) is repealed.
Section 9.   Chir 4.05 (1) (intro.) is renumbered Chir 4.05 (intro.) and amended to read:
  Chir 4.05 (intro.) Scope of practice. A person who holds a license to practice chiropractic licensed under ch. 446, Stats., may engage in the practice of chiropractic, as described in s. Chir 4.03. A license to practice chiropractic does not authorize the license holder to engage in practice beyond the scope of chiropractic the practice, as described in s. Chir 4.03 of chiropractic. Practice beyond the scope of the practice of chiropractic includes, but is not limited to, all of the following:
Section 10.   Chir 4.05 (1) (a) to (d) and (2) (intro.) and (a) to (d) are repealed.
Section 11.   Chir 4.05 (2) (e) (intro.) is renumbered Chir 4.05 (1m) and amended to read:
  Chir 4.05 (1m) The use of any device instrument in the practice of chiropractic to diagnose, analyze, treat, or prevent the cause of departure from complete health and proper condition of the human patient, which is not employed or applied in accordance with the principles and techniques of chiropractic science is prohibited. Such devices include, but are not limited to:.
Section 12.   Chir 4.05 (2) (e) 1. is repealed.
Section 13.   Chir 4.05 (2) (f) to (h) are renumbered Chir 4.05 (2m) to (4) and amended to read:
  Chir 4.05 (2m) Any practice system, analysis, method, or protocol which that does not include the competent assessment, evaluation, or diagnosis of the condition to be treated before beginning treatment of the patient.
  (3) Any practice system, analysis, method, or protocol which that relies upon diagnostic methods that are not generally recognized or accepted within the profession or which do not have scientific validity.
  (4) Any practice system, analysis, method, or protocol which that is represented as a means of attaining spiritual growth, spiritual comfort, or spiritual well-being.
Section 14.   Chir 4.07 (1) is amended to read:
  Chir 4.07 (1)Perform any of the functions in s. Chir 4.03 Engage in the practice of chiropractic.
Section 15. Effective date. The rules adopted in this order shall take effect on the first day of the month following publication in the Wisconsin Administrative Register, pursuant to s. 227.22 (2) (intro.), Stats.
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