Frequently Asked Questions


Do I meet the education requirements to write the exams?

A candidate must be currently attending or have graduated from an “accredited” or “approved” Chiropractic program.  Please review the eligibility policy onour website for more information.
In Canada, licensure requirements are the responsibility of the provincial regulatory boards.  Licensure requirements vary among the jurisdictions.  Completion of CCEB exams does not guarantee licensure in any particular province.  Candidates are encouraged to confirm the specific requirements within the jurisdiction in which they intend to practice.  A list of the provincial regulatory boards with contact information appears on this website under Resources, Provincial Regulatory Boards,

How do I get my CCEB certificate?
Certificates are issued upon completion of required exams and receipt of final transcript.  The original final transcript must be received within 3 months of the exam date.  Failure to provide proof of graduation within three months of your examination will result in your results being nullified.  In the event of the results being nullified, no refunds will be provided and the candidate will have to retake the examination.

What order do the exams have to be written in?
Component A is a prerequisite for Component B.  You may write Component B and Component C during the same exam administration, provided that you are eligible for both exams.

Can I write more than one exam in the same exam session?
Component B may not be written in the same exam session as Component A; however you may write Component B and Component C at the same exam administration, provided that you are eligible for both exams.

I have only taken the Written Cognitive Skills Examination (WCSE). Now what?
If a candidate took the CCEB exams prior to 2004 (when they were the Written Cognitive Skills Exam), a Provincial Regulatory Board may request that he or she take Component B and Component C. Please contact the applicable Provincial Regulatory Board to determine their requirements.

Do I have to be a Canadian citizen to write the CCEB exams?
Canadian citizenship is not a requirement to take the CCEB exams.

What if my graduation date changes after I’ve completed all the exams?
Graduation must occur within three months of taking the Component C exam. If graduation has not occurred within that three-month period then the candidate has not maintained their eligibility status and exam results will be voided.


What are the photo requirements?

Please email a passport-style photo of yourself, taken within the last year. If mailed, the photo must have the printed name of the applicant on the back. Your photo will be rejected if it does not meet the following requirements:

    • Photo must be a clear, close-up, full front view of your face.
    • Photo must be taken against a well-lit, plain white or light-coloured background so that the applicant’s features are clearly distinguishable against the background. There should be enough contrast between the background and the traits or clothing.
    • Photo must be received by 4:00 PM Alberta Time on Application Deadline
I want to apply for an exam, but it is not listed on the Application Form. How do I apply?
If the exam date is not listed on the posted Application Form, either the application deadline has passed, or applications are not yet being accepted. Please check back at a later date.

Do you require my transcripts?
For each exam, we require a Letter of Eligibility or Transcript confirming your cumulative GPA and expected date of graduation. Faxed or emailed copies are accepted but must show transmission from a recognized fax or email associated with the college.  This document must be received by 4pm Alberta Time on the application deadline. When a final transcript is received, it will apply to all future CCEB exams.

Component C only: A final transcript directly from your Chiropractic Program is required in order to release your certificate. Graduation must occur within three months of taking the Component C exam. 

I have not received any correspondence by email. What do I do?
All correspondence will be sent by email. You must add to your contact list to ensure emails are not flagged as spam. Confirmation will be sent by the CCEB within 48 hours of receipt of application or correspondence. If you do not receive this confirmation, please contact us.


Can I pay over the phone?
No, the CCEB does not accept payments over the phone.

Can I pay by personal cheque?
Exams fees must be remitted via PayPal for online applications. No other form of payment is accepted.  If you choose to pay online via Pay Pal, the payment will be received by CCEB in Canadian funds.  If a refund is given, that will also be processed in Canadian funds.  Any exchange rate calculated by the payment processor or credit card company is the responsibility of the candidate.

I tried paying online, but my credit card was not accepted. Why?
Please contact PayPal directly if you experience any difficulties making payment. The CCEB cannot contact PayPal on your behalf.

How do I apply for my licensing?
Once you have successfully completed all the CCEB exams and we have received a copy of your final transcript, your CCEB results will be emailed to all the provincial regulatory boards.

Can I get my money back if I cancel my application?
A full refund for exam fees will be issued if your application is cancelled prior to the application deadline.  If you request a cancellation after the deadline and you can provide CCEB with documentation showing extenuating circumstances, you will receive a refund of your exam fee minus the $150.00 administration fee.  There will be no refunds issued for no-shows or cancellations without supporting documentation.

Does a no-show or cancellation count as an attempt?
An attempt means that you entered the exam administration, registered, and cleared security; a no-show or cancellation does not count as an attempt.


How are exams selected?
Our exams are selected by our Exam Selection Committee.  A group of practicing chiropractors meet regularly to review and select items from our exam banks to create our exams.  Meetings of our Exam Selection Committee are facilitated by our psychometrician to ensure the selected exam items, in addition to being appropriate and relevant for entry-level practice, meet our specified exam blueprint.

How are exam questions developed?
The CCEB has regular meetings of our Item Writing Committees.  Our Item Writing Committees consist of practicing chiropractors from across the country who have been trained in item writing.  With the oversight of our psychometrician, they create, review, and finalize questions that are added to our exam banks for use on our exams.  Our items are developed to be appropriate and relevant for entry-level practice according to the needs of professional chiropractic practice.
We do not have chiropractic college faculty members on our committees, but our committees are comprised of chiropractors who have graduated from chiropractic colleges from all over the world.

How are exam questions translated into French
Our exam items are translated using a professional translator.  Following the professional translation, our exam items are then reviewed by a translation committee that consists of practicing French chiropractors to ensure that the content is translated accurately to reflect chiropractic practice and terminology.

Who are the examiners for the Component C (OSCE) exam?
Our examiners in the Component C exam are practicing chiropractors from across the country who have graduated from various chiropractic schools all over the world.  All our examiners have been in active practice for a minimum of three years and have undertaken training to become examiners.  We recruit examiners for our francophone candidates who are fluent n French.

How are French exams constructed?
French chiropractors are involved in the item writing and review process. French exams are translated by professional translators.  Following the professional translation, our exam items are then reviewed by translation committee that consists of practicing French chiropractors to ensure that the content is translated accurately to reflect chiropractic practice and terminology.

Who are the patients for the Component C (OSCE) exam?
The CCEB uses standardized patients as part of our Component C exam.  The standardized patients we use are actors who are trained, and work, as Standardized patients for various regulated professions’ OSCE exams.  We also use practicing chiropractors to act as the patients for some scenarios.  Patients for our francophone candidates are fluent in French.

Why aren’t there more chiropractic tables used in the Component C (OSCE) exam?
The CCEB attempts to use portable chiropractic tables as much as possible in the Component C exam.  We allocate the tables to stations where they are the most appropriate to be used.  We are unable to provide chiropractic tables for all stations due the limited space in the exam rooms and logistics of the exam sites.

Would studying old CCEB exam questions help me?
CCEB exam questions are constantly created, revised, and retired. 
Additionally, CCEB examinations are copyright and are not retired, sold, or distributed for any purpose.  Any claim that you are receiving CCEB materials is either false or a breach of the CCEB copyright.

Can I trade exam days with a friend?
After the application deadline, all exam locations and times are final.

I’ve recently changed my name, do I need to let CCEB know?
If you currently are a candidate, you will need to let us know of any legal name changes. Your name on your government ID must match the name with which you registered with. If you’re recently married you will need to send CCEB notarized legal documentation i.e. notarized copy of marriage certificate.


How do you score my exam?
Following each administration, all candidate response forms for the written examinations and assessor score forms for the OSCE examination are forwarded to our psychometrician for analysis and scoring.  This process begins by scanning these materials utilizing both hardware and software designed specifically for use in testing environments where accuracy is paramount.  All raw data collected through this process is carefully examined for both accuracy and completeness before any analysis is conducted.

Once the raw data has been validated, a statistical process know as item analysis begins wherein each and every item undergoes through psychometric review to ensure the required statistical parameters are met and that the item is functioning as intended.  Items failing to meet these standards are flagged for review and brought before a sitting of the Competence Level Validation Committee in a meeting facilitated by our psychometrician.  There, the items are discussed and decisions regarding the items’ inclusion in scoring are made.  Items identified for removal from scoring due to poor performance are removed for all candidates.  The remaining items. having satisfied the required statistical parameters, are considered to be valid scoring items and, together, form the final set of items on the examination.

Candidate scores are then calculated utilizing statistical software, with any candidate who is unsuccessful on the first scoring pass having their data reviewed to ensure accuracy.  Additionally, unsuccessful candidates have their raw data hand-checked against their physical score sheets to further ensure accuracy during the scanning process.

Finally, once scoring is complete, results are prepared, including performance reports for unsuccessful candidates, and all data is transmitted back to CCEB to be communicated to candidates.

How is the pass score set?
For each exam administration, the CCEB holds a meeting of our Acceptable Competence Level Committee.  This committee consists of a group of chiropractors from across the country who have graduated from chiropractic colleges all over the world, and who have been specifically trained in pass score setting by our psychometrician utilizing recognized methodologies.  Meetings of the committee are facilitated by our psychometrician to ensure best practice psychometric standards are followed, and the resulting pass score is reflective of the exam content and competency being tested.

When will I get my results?
Exam results are emailed within six weeks of the exam date. Please be patient, but if your results are not received within eight weeks, please contact the CCEB.

Why does it take so long to get my results?
Following the initial scoring, a group of practicing chiropractors meet as a part of our Acceptable Competence Level Validation Committee to review and discuss various exam items that were part of the exam administration,  As part of this meeting, the committee decides whether to keep our remove items from scoring, with their decisions based on appropriateness and relevancy for entry level practice.

In order to ensure the fairness, accuracy, and defensibility of our examination results, great care must be taken in adhering to the processes demanded by best practice in assessment.  These processes include a through inspection and verification of all candidate data, detailed item-by-item analysis to ensure that only properly functioning items are included in scoring, various meetings with examination committees to validate items and final cut scores as well as addressing any administration irregularities, careful review of results, and secondary review and verification of unsuccessful candidate data.

These procedures require sufficient time to be taken to ensure the accuracy and fairness of examination results.  Additionally, in order to complete these procedures, the time of a number of individuals including CCEB staff, psychomtricians, and volunteers, must be coordinated.

Can I see my mark?
Candidates are provided with a Successful or Unsuccessful result.  Candidates who receive an unsuccessful result also receive a performance report to assist them in understanding their exam performance.  Individual scores are not available to candidates under any circumstances. The exams are conducted for licensure purposes and as such are not a learning tool for candidates. The candidates’ exam papers and/or score forms are not available for review.