Proficiency Certification

The Certification of Proficiency in the Blair Upper Cervical Technique serves to assure doctor and patient alike that the “certified” chiropractor is considered proficient by the Blair Chiropractic Society by virtue of passing the testing procedures established by the Committee on Technique and Instruction.

Full Proficiency Testing Packet Can Be Viewed Here


  1. Be in active Chiropractic practice for one year (or equivalent part time practice).
  2. Be a full dues-paying member of the Blair Chiropractic Membership Association for one year.
  3. Attendance of at least one full three-part Blair Upper Cervical Technique seminar series given by a Certified Blair Instructor.


  1. Request in writing, on office letterhead the desire to be evaluated for Blair Technique Proficiency Certification addressed to the Chair of Technique and Instruction. Dr. Dennis Campbell
  2. Request is to be accompanied by proof of attendance of Primary, Intermediate, and Advanced Blair seminars, including seminar dates and names of instructors.
  3. Include a check for $150.00 made out to The Blair Chiropractic Society as a non-refundable processing fee. (Or paid online if testing at conference and registered online or setup to pay online via email to [email protected]).


Radiology Packet Can Be Viewed Here

  1. Once the application has been accepted and approved by the Committee of Technique and Instruction, the applicant should contact two Blair Advanced instructors, as indicated on the Blair Society website, who are willing to analyze X-rays. These may be assigned by the committee chair.
  2. Submit five (5) complete sets (not necessarily consecutive) of Blair Upper Cervical X-ray series to the first of the two selected instructors.
    • The submitted x-rays need to be taken and marked by the applicant.
    • The submitted x-ray sets need to be taken no earlier than 90 days before submission of the application.
    • At minimum the Blair x-ray series is made up of an A-P open mouth, base posterior, unilateral or bilateral stereoviews and bilateral protractoviews (stereoviews when necessary). As many retake or supplemental views may be included in each film set as are necessary to obtain readable images of the articular margins of each of the joints in question.
    • The requisite x-ray from to be filled out for each set can be downloaded from the website.
      • Listings for C1 to C4 must be marked.
      • All angles from C1 to C4 must be marked.
      • Contraindications and pathologies should be noted.
      • Preferred contact based on listing, angels, and anatomy should be recorded.
    • Include two stamped and addressed envelopes, one made out to the second instructor, and the other to yourself.
    • Digital x-rays: digitally taken x-rays need to be submitted as .jpegs on a disc exported from your digital x-ray program. Two discs may be burned and sent to each instructor simultaneously.
  1. Instructors will evaluate film quality, patient placement and findings. All five sets must pass with a 70% or greater from each instructor.
  2. Failure to pass one or more sets: the applicant may submit a like number of sets within a 90 day period in order to avoid another  application fee and the resubmittal of another 5 sets.


The applicant will be notified by the Chair of Instruction and Technique following successful completion of the x-ray portion of the examination. The applicant should then contact two Blair Advanced Instructors who are willing to proceed with the rest of the examination process, and arrange for testing. These may be assigned by the committee chair.

  1. Demonstration on a toggle monitor (or other appropriate device) adjustments for five (5) upper cervical listings chosen at the discretion of the instructors from the list of Atlas and Axis side of laterality and side-opposite single misalignment adjustments. The applicant will be required to explain each listing regarding both the mechanism of displacement and correction. Each simulated adjustment may be attempted twice.
  2. Applicant must set up, explain and show correct patient placement for the side posture toggle table.
  3. The applicant must explain and convey knowledge of paraspinal skin temperature differential pattern analysis, and pattern analysis in general in regards to when to adjust.
  4. The applicant will be require to manually demonstrate leg balance tests as they are taught in the Blair seminar series. This should include the modified Derifield/Thompson prone leg check, Cervical Syndrome Tests, and Modified Prill spinal balance leg checks.
  5. Applicant will need to convey skills regarding his/her Upper Cervical patient management talents.


This is usually done in conjunction with the Practical portion of the process. The applicant is to be tested on the principles of articular misalignment in relation to joint mechanics and spinographic imaging of the upper cervical spine.


  1. Each section of each certification is considered passed if the applicant scores 70% correct from each of the two instructors a “passing” mark must be earned for each of the three requirements set forth above, within a period of three years of the initial examination or submission.
  2. Following successful completion of all portions of the Blair Certification process, the results will be forwarded first to the Chair of Instruction and Technique and then on to the Blair Society Board of Directors and the final decision regarding passage of the applicant will be determined by them.
  3. On final approval the appropriate certificate will then either be sent to the applicant or awarded at the annual Blair Conference. The listing on the Blair Society website will also then be updated to indicate the new certification.


Once the applicant attains Blair Proficiency status, he/she will maintain that level and be listed on the Blair web site as “certified” provided:

  1. Attend at least one Blair seminar or the Annual Blair Conference every year.
  2. Remain an active dues paying member of the Blair Chiropractic Membership Association.
  3. The doctor must submit to periodic re-evaluation by Certified Blair Advanced Instructors at the choosing of the Chair of Technique and Instructions.
  4. Maintain professional conduct as a credit to the legacy of the late Dr. William G. Blair.
  5. Failure to comply with the above mentioned requirements will results in revocation of the Proficiency certification and removal of the “Proficient” designation from the Blair Society website.