In VA chiropractic practice, the indirect supervision is provided by which combination?

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Indirect supervision means the supervisor isn’t in the same room but is available within the facility to oversee care. In VA chiropractic practice, the oversight for indirect supervision is provided by an Integrative Medical Physician or a Physical Therapist. This pairing supports coordinated, multidisciplinary care: the integrative physician can review and authorize medical aspects of the plan, while the physical therapist contributes specialized rehabilitation insight to ensure safe, effective progress. The other options don’t fit this model because surgeons aren’t typically the supervisory role for chiropractic care, and while nurse practitioners can supervise in some settings, the VA’s indirect supervision framework for chiropractic explicitly designates an integrative medical physician or physical therapist. Including a chiropractor as the supervisor wouldn’t align with the intended cross-disciplinary oversight.