How to Apply

While approximately three quarters of the people who take the Test of Competence (TOC) are successful, candidates have said that it is challenging and that it takes a significant amount of time to collate the required documentation (e.g., complete the evidence of practice questionnaire) and prepare for the interview. We therefore encourage applicants to apply as soon as possible to allow us enough time to check the completeness of applications and to gain a place at the next available TOC interview date.

You can find useful information and resources that will help you to pass the TOC here.

The TOC process is based on ensuring that you know and understand The Code. By demonstrating your understanding of the requirements in those documents, we can be sure that you meet the requirements to be able to practise safely in the UK.  

You may also find our Guide to Applicants useful.

Applying for the Test of Competence

Please read all the information below carefully before you complete and submit your application. 

To apply for the TOC you must:  

1.    provide a transcript from the educational institution who awarded you with your chiropractic qualification, listing each course taken and also the number of hours in total for your degree

2. send a copy of the documents from which you obtained the course outcomes, such as a course guide

3. complete the document mapping the outcomes of your degree programme to your education to the GCC Education Standards. We have produced an example mapping document [here], which we hope will help you to complete your own.

4.    complete an Evidence of Practice Questionnaire

5.    attach copies of anonymised patient records - please ensure all references relating to patient names, date of birth, clinic and patient addresses are all redacted. 

6.    provide a copy of your CV/Resume 

7.    provide a copy of the pages from your passport that have your personal details; and

8.    pay the test fee of £2,000 (the card payment form can be found [here] - payment will be taken once your  place on the interview has been confirmed)

Send all of the documents listed above by email ONLY to [email protected]. Please email them to us all at the same time - failing to do so will result in your application taking longer to process and as a consequence you may miss your first choice interview date.


Do not send us a paper copy of any documents.

You will only be invited to attend a TOC assessment interview once we have all of the documents above and we are satisfied that your application is complete.

Applications for the TOC are accepted on a first come first served basis as we only have a limited amount of spaces available for each interview. You are encouraged to send us your application as soon as possible to increase your chances of being accepted on your chosen date. All spaces may be filled before the closing date.

1. Letter from the educational institution which awarded your chiropractic qualification

You must provide us with a transcript from the educational institution which awarded you with your chiropractic qualification, giving details of how it meets the registration requirements.

The transcript must include:

  • your full name
  • your chiropractic qualification
  • the date you achieved your qualification
  • a list of course codes and names
  • the total number of study hours, which can include clinic hours and nominal hours allocated for self-directed learning. If this does not appear on the transcript, you will need to provide an additional letter from the college giving the total course hours

2. Module Information and Learning outcomes

You must complete a qualification details form mapping the outcome of the modules/ courses you took as part of your chiropractic degree course to the GCC Education Standards.

A learning outcome is the standard that you would have had to achieve for each module before passing it. This will help you to identify any potential differences between what is required for all chiropractors in the UK and the requirements of chiropractors in the country in which you studied and/or practised. This should be available from the educational institution which awarded your chiropractic degree. 

Submit this form as part of your application.  

3. The Evidence of Practice Questionnaire

The Evidence of Practice Questionnaire provides the GCC with evidence of how you meet the standards in The Code. The questionnaire forms a key part of your application and will be assessed by the Test of Competence Assessment Panel.

The Evidence of Practice Questionnaire includes the following sections:

  • Section 1: profile of your caseload
  • Section 2: a neuromusculoskeletal case presentation    
  • Section 3: a  case presentation in which the patient was considered unsuitable for chiropractic treatment / was referred to another healthcare practitioner
  • Section 4: a case presentation in which you concluded that certain techniques were unsuitable (contra-indicated)
  • Section 5: Definition of Acronyms and Abbreviations if used
  • Section 6: application of patient management through the completion of a table showing the different forms of assessment and care you use
  • Section 7: learning undertaken in the last three years.

As well as documenting your past or current practice, the replies that you give in your Evidence of Practice Questionnaire should also outline how you intend to ensure compliance with The Code in similar circumstances. You should give enough detail to reassure the panel confidence that you understand the actions you took and can reflect on why you took these particular courses of action and any issues that may have arisen.

4. Anonymised Patient Records

To support your answers to Sections 2,3 and 4 of the Evidence of Practice Questionnaire you must email anonymised patient records. Patient records are a compulsory part of your supporting evidence and you will not able to attend the TOC interview without it. 

Please remember that when submitting your records:

  • Each patient record must be submitted as one document rather than single, individual pages. Patient records not collated will be rejected. 
  • You must clearly label each record to show the section of the Evidence of Practice Questionnaire to which it refers. 

If you are an educationist not treating patients we will accept the clinical cases of chiropractic students you have supervised rather than those you have assessed or cared for directly. In this case you must make sure your role and the actions you took in relation to the patient are made clear.

If you are a recent graduate we will accept patient notes taken as part of your supervised practical sessions within your course. 

We recommend that you obtain real anonymised patient records where possible. We will accept patient records taken while observing or shadowing chiropractic care. You may create patient records based on real cases only if you have exhausted all other options of obtaining real records; however, please ensure that you make explicit on your application that you have not provided real patient records and also be aware that you will be subject to a longer, more intensive, interview to ensure that you meet the standards. 

The GCC provides information for overseas educational institutions and employers who may hold responsibility for the patient records that you wish to submit. This information can be found here.

The GCC stipulates that patient confidentiality must be protected by anonymising patient records; therefore applicants must ensure that all personal data within the records are redacted or deleted before being submitted to the GCC. All anonymised records are used for the sole purpose of the Test of Competence. The GCC does not use these records for any other purpose, nor are they shared with third parties. 

 5. CV / Resume

You must provide an up-to-date copy of your CV / resume that includes all of your work history especially related to chiropractic.

After we have received your information

Once we have received all of your paperwork by email, we will check it to ensure it is correctly and fully complete. If there are any missing parts, or if the information required has not been fully provided we will get back to let you know. Please note that in the case that we have not received all the required information, your application will be delayed.

Paying the Test of Competence fee

It is a requirement of the TOC interview that the fee of £2,000 is paid before your place is confirmed. It is not possible to pay the fee after the interview or by instalments.

Fees are annually reviewed and subject to change.

If you return a completed card payment form, we will take the fee once a place on the TOC interview has been confirmed. Please note we will not notify you beforehand

If you do not give us your credit card details, you will receive a request for payment once we have confirmed your interview date.  Please do not attempt to make any payments before we have confirmed your place on the TOC.

Full payment options can be found [here].

If you make an electronic payment to us direct from your bank, please include your surname and TOC so that we can easily trace your payment.

Withdrawal and Refunds

You should only apply for the TOC if you are confident that you will be prepared in time and you will be able to attend an interview day.

If you withdraw your application for the TOC after your place has been confirmed but up to 1 day before the closing date, we will refund 50% of your fee.

If you withdraw your application on or after the closing date, no part of your fee will be refunded unless we agree that you have Exceptional Mitigating Circumstance, in which case a full refund will be given.