TOC Frequently Asked Questions

When should I apply for the TOC?

We cannot advise you on the best time to apply. However, you should be aware that you will have to do a significant amount of work to collate the documentation that we require, complete the Evidence of Practice Questionnaire and prepare for the interview, so make sure that you give yourself sufficient time to do all of this.

Can I apply on the closing date of the TOC?

Yes - you can apply right up to the closing date. However, we recommend that you apply as early as possible, as places are limited and are allocated on a 'first come, first served' basis.

Where is the TOC assessment panel held?

All TOC assessment panels are held in at our GCC office in London.

How do I apply for the TOC?

To apply for the TOC you must:

  • 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
  • send a copy of the documents from which you obtained the course outcomes, such as a course guide
  • provide details of the modules you completed as part of your chiropractic qualification and the outcomes of those modules
  • complete an Evidence of Practice questionnaire
  • attach copies of anonymised patient records
  • provide a copy of your CV
  • provide a certified copy of the pages from your passport that contain your personal details
  • pay the test fee of £2,000 by filling in the final page of the Evidence of Practice questionnaire (we will only take payment once the date of your TOC interview is confirmed)

What information does the Evidence of Practice questionnaire require?

The Evidence of Practice Questionnaire has the following sections that you must complete:

  • profile of your caseload
  • a neuromusculskeletal case presentation
  • a case presentation in which the patient was considered unsuitable for chiropractic treatment / was referred to another healthcare practitioner
  • a case presentation in which you concluded that certain techniques were unsuitable (contra-indicated)
  • definition of acronyms and abbreviations if used 
  • application of patient management throughout the completion of a table showing the different forms of assessment and care you use
  • learning you have undertaken in the last three years

Who will be on the assessment panel?

The assessment panel will be comprised of three chiropractors. We don't make the names of the chiropractors on the panels known to prevent candidates contacting them directly, but they will introduce themselves when they meet you.

How are the members of the assessment panels chosen?

Membership of the Panels is limited to chiropractors who have been on our register for at least five years. Any chiropractor who meets this requirement may apply to become an assessor, and after applying they are interviewed to determine their suitability. 

Chiropractors successful at the interview receive training before becoming assessors.    

Can the assessment panel be conducted in my native language?

No. Assessment panel interviews are conducted in English.

Not all of the supporting information I wish to submit is in English - is that a problem?

If some of your supporting documentation is not in English, then you must provide us with a translation of the documents as well as the original.

What is the fee for the TOC?

The fee for taking the Test of Competence in 2017 increased to £2000.

This fee has not changed since the introduction of the TOC in 2002, this increase reflects the higher costs we have incurred running the tests over the past two years along with the increased levels of help and support we provide to applicants compared to before, and particularly for the three quarters of candidates who are required to submit additional evidence, with assessors having to reconsider the information provided to ensure applicants meet the required standards.

Fees are kept under review on an annual basis and are subject to change.

How do I pay for the TOC?

It is a requirement of the TOC interview that the fee of £2,000 is paid before your place is confirmed. 

You can pay by card or electronic bank transfer. 

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. Our bank details can be found [here].

If you are paying by card, please complete the card payment form [here] and return to us. 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].

I no longer wish to take the TOC - can I have a refund?

If you withdraw your application for the TOC after your place has been confirmed we will refund 50% of your fee (£1000) if you withdraw up to 1 day before the closing date.

If you decide to withdraw your application on or after the closing date, your fee will be non-refundable unless there is an exceptional mitigating circumstance.

Can I practise in the UK while I wait for my TOC assessment panel?

No - you may not practise in the UK until you have both passed the TOC and registered with us.

If you are in the UK ahead of your TOC interview it may be advisable to seek support from your sponsoring employer or from one of the professional associations to help you prepare. 

I have been practising for over 20 years as a chiropractor - does this exclude me from any aspects of the TOC?

No - there are not exemptions from the TOC for experienced chiropractors.

How can I find further information about the TOC?

If you have any further questions about the Test of Competence, get in touch with us at [email protected]

What would you like to do next?

How to apply for registration

What happens at the interview

After the interview

After a decision on your application has been made