1. (a) "Qualified individual" means an unlicensed individual with adequate education, training, and skill to perform an act.
2. (b) A licensee may not delegate responsibility to render a diagnosis, prescribe a treatment plan, or perform adjustments or manipulations under this section.

3. (c) A licensee may delegate responsibility to a qualified individual to perform acts within the scope of practice, including:

   1. (1) taking a medical history;
   2. (2) taking or recording vital signs;
   3. (3) taking or recording range of motion measurements;
   4. (4) performing physical treatments or modalities;
   5. (5) demonstrating exercises or stretches;
   6. (6) demonstrating the use of supports and devices; or
   7. (7) performing radiological procedures.
4. (d) A licensee shall document that an individual is qualified to perform an act.
5. (e) A licensee may not allow an individual whose chiropractic license has expired or been suspended or revoked in any jurisdiction to treat a patient in any manner, including acts in subsection (c) of this section.
6. (f) A licensee shall determine a reasonable number of qualified individuals a licensee can safely supervise.
7. (g) A licensee shall be physically present or on-call when any qualified individual performs an act in subsection (c) of this section unless another licensee is physically present at the place of business or on-call.
8. (h) "On-call" means a licensee must be available for voice consultation within 15 minutes.
9. (i) A licensee shall differentiate on a patient's records between acts performed by the licensee and acts performed by a qualified individual.

Source Note:The provisions of this §78.3 adopted to be effective March 20, 2022, 47 TexReg 1455.