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Apply as a Temp

Home > Apply as a Temp

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BECOME A TEMP DOCTOR

Flexible work. Fair pay. Real impact.

Whether you’re between jobs, building your own clinic, easing into retirement, or just looking for work that fits your lifestyle — becoming a temp (sub) doctor offers a rewarding, flexible way to practice chiropractic care on your own terms.

Why Become a Temp Chiropractor with BMCA?

Work as much or as little as you like
Supplement your income or stay active during clinic transitions
Support fellow chiropractors while caring for their patients
Choose assignments that match your skills and location preferences
Gain exposure to a variety of clinic settings
Perfect for Semi-retired Chiropractors.

How to Get Started

Fill out the online application below.
Once we review it, we’ll call you within a few business days to get acquainted.
We’ll then request:
- A copy of your state chiropractic license
- Proof of current malpractice insurance

After approval, we’ll add you to our active database of temp doctors.

How It Works

When a clinic requests coverage, we send an email and/or text alert to our available doctors.
If you’re available, call us quickly to discuss the opportunity.
We’ll go over:
- Dates, times, and location
- Techniques required
- Patient volume expectations
You and the hiring doctor can speak by phone, and sometimes arrange an office visit (depending on distance).
Once you accept the job, we’ll send you a simple agreement to sign — and you’re booked!
Once the coverage agreement has been signed, contact details for clinic will be shared.

After the Job: Submitting Your Day Sheet

After every job, you’ll fill out a Temp Doctor Day Sheet, which includes:

Clinic name and location
Dates and times worked
Number of patients seen
Travel or hotel expenses (if applicable)

Checks/payments are sent within 10 days of receiving this information.

You can easily Register and access our secure portal to submit your completed day sheets.

TEMP DOCTOR APPLICATION FORM

Personal Info

Name:(Required)

First Name Last Name

Date of Birth(Required)

MM slash DD slash YYYY

Cell Phone:(Required)

Other Phone (optional) :

Email:(Required)

Address:(Required)

Street Address City County / State / Region ZIP / Postal Code Country

Social Security Numbe:

Languages Spoken (besides English):

Education

Undergraduate School(s):

Chiropractic College Attended:

Graduation Date:

MM slash DD slash YYYY

Techniques Used:

Other Techniques or Notes:

License Info

Date of First License:

MM slash DD slash YYYY

License(s) Held

Country:

State:

License # and Expiration

Previous Malpractice Insurer (if applicable):

Current Malpractice Insurer:

Work History (Minimum 2 Years)

Clinic Owner Name:(Required)

First

Address(Required)

City State

Dates Worked (From–To):(Required)

Practice History Questions

For each question, select Yes/No. If Yes, an explanation box appears.

Have you ever had any malpractice claims (open or closed)?

Yes

No

Has your license ever been denied, revoked, suspended, or had disciplinary action (any country)?

Yes

No

Have you ever had any malpractice claims (open or closed)?

Has your license ever been denied, revoked, suspended, or had disciplinary action (any country)?

Have you ever been excluded from Medicare/Medicaid or CAQH-affiliated insurance plans?

Yes

No

Have you ever been convicted of a crime or misdemeanor?

Yes

No

Have you ever been excluded from Medicare/Medicaid or CAQH-affiliated insurance plans?

Have you ever been convicted of a crime or misdemeanor?

Has your malpractice insurance ever been suspended, canceled, or limited?

Yes

No

Are you currently suffering from any communicable disease that could be passed to a patient?

Yes

No

Has your malpractice insurance ever been suspended, canceled, or limited?

Are you currently suffering from any communicable disease that could be passed to a patient?

Do you suffer from a substance abuse disorder or mental condition that may affect your ability to work?

Yes

No

Do you suffer from a substance abuse disorder or mental condition that may affect your ability to work?

Notifications

Do you agree to receive email/text alerts from BMCA about open coverage jobs?(Required)

Yes

No

TEMP DOCTOR DAY SHEET

Your Name:(Required)

First

Phone Number:(Required)

Email Address:(Required)

Today’s Date:(Required)

MM slash DD slash YYYY

Clinic Covered:

Coverage Location

City County / State / Region

Dates Worked:(Required)

For each day:

Full Day / Half Day?(Required)

Full Day

Half Day

Number of Patients Seen:

Hotel?

Yes

Payment Summary:

Total Full Days x Daily Fee(Required)

Total Half Days x Daily Fee(Required)

TOTAL(Required)

Payment will be sent within 10 days of receiving your completed form.

TEMP DOCTOR APPLICATION FORM

(All fields below are required unless marked optional)

Personal Info

Last Name:

First Name:

Date of Birth:

Cell Phone:

Other Phone (optional):

Email:

Home Address:

City:

State:

Zip Code:

Country:

Social Security Number (never shared):

Languages Spoken (besides English):

Education

Undergraduate School(s):

Chiropractic College Attended:

Graduation Date:

Techniques Used:

Other Techniques or Notes:

License Info

Date of First License:

License(s) Held:

Country:

State:

License # and Expiration:

Current Malpractice Insurer:

Previous Malpractice Insurer (if applicable):

Work History (Minimum 3 Years)

Clinic Owner Name:

Clinic Address:

City/State/Zip:

Dates Worked (From–To):

Practice History Questions

Have you ever had any malpractice claims (open or closed)?
Yes No
If yes, explain:

Has your license ever been denied, revoked, suspended, or had disciplinary action?
Yes No
If yes, explain:

Have you ever been excluded from Medicare/Medicaid or CAQH plans?
Yes No
If yes, explain:

Have you ever been convicted of a crime or misdemeanor?
Yes No
If yes, explain:

Has your malpractice insurance ever been suspended, canceled, or limited?
Yes No
If yes, explain:

Are you currently suffering from any communicable disease?
Yes No
If yes, explain:

Do you suffer from a substance abuse disorder or mental condition?
Yes No
If yes, explain:

Notifications

Do you agree to receive email/text alerts from BMCA about open coverage jobs?
Yes No

📞 Need help? Questions before applying?

Call us anytime. We’re happy to walk you through the process.

Blue Moon Chiropractic Temp Agency
📍 Atlanta, Georgia
📞 (678) 670-9220

Disclaimer
My role is solely to act as a professional liaison, facilitating connections between licensed chiropractors seeking temporary work and clinics in need of coverage. This service functions as a vetted matchmaking platform and does not employ or contract chiropractors directly.

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