How ChiroGuard reviews content

Every submission is classified first — educational, promotional, testimonial, offer, event and so on — and then reviewed across eight domains. Federal advertising standards and platform policies always apply. State chiropractic board rules apply only for the state you select. Findings include the wording detected, why it may be a concern, a recommended correction and a rule reference for orientation.

Truthful Advertising and Claim Substantiation

FTC Act § 5 and FTC Health Products Compliance Guidance

  • Express health claims
  • Implied health claims
  • Cure claims
  • Guaranteed results
  • Unsupported effectiveness claims
  • Unsupported safety claims
  • Claims of permanence
  • Claims about speed of results
  • Misleading qualifications
  • Claims that require competent and reliable supporting evidence

State Chiropractic Advertising and Scope

Selected state's chiropractic board advertising and scope rules

  • Guaranteed outcomes
  • Professional superiority
  • Misleading credentials
  • Scope-of-practice issues
  • Required professional identification
  • Testimonial restrictions
  • Free-service and discount requirements
  • Mandatory disclosures
  • Specialty claims
  • Use of titles and certifications

Patient Privacy and HIPAA Risk

HIPAA Privacy Rule, 45 CFR Parts 160 and 164

  • Identifiable patient information
  • Patient images
  • Testimonials
  • Reviews and review responses
  • Incidental PHI in office photos and video
  • Charts, screens, and sign-in sheets
  • Case stories
  • Appointment details
  • Treatment information
  • Written authorization elements
  • De-identification concerns

Platform Policies

Meta Advertising Standards, Google Ads and Business Profile policies

  • Personal-attribute wording
  • Sensational claims
  • Negative self-perception
  • Unrealistic outcomes
  • Before-and-after framing
  • Misleading health information
  • Landing-page mismatch
  • Phone numbers or URLs in Google Business Profile posts
  • Excessively graphic imagery

Testimonials, Reviews, and Endorsements

FTC Endorsement Guides, 16 CFR Part 255

  • Incentives
  • Material connections
  • Typical-result implications
  • Staff or family endorsements
  • Patient authorization
  • Unsupported outcomes
  • Review gating language
  • Altered or fabricated reviews
  • Claims the clinic could not legally make directly
  • Editing that changes the meaning of the testimonial

Offers, Discounts, and Financial Incentives

FTC disclosure guidance; federal and state referral/inducement rules

  • “Free” claims
  • Required purchases
  • New-patient restrictions
  • Insurance exclusions
  • Expiration dates
  • Hidden fees
  • Referral rewards
  • Gift cards
  • Sweepstakes or giveaways
  • Federal-program concerns
  • State-specific inducement rules

Products, Devices, and FDA-Related Claims

FDA requirements for drugs, devices, biologics, and supplements

  • Medical devices
  • Drugs or biologics
  • Supplements
  • FDA approval or clearance statements
  • Diagnostic equipment
  • Product labeling claims

Professional Conduct and Digital Professionalism

NASS social media best practices for the spine care professional (N Am Spine Soc J, 2025); AMA Code of Medical Ethics 2.3.2

  • Accurate representation of training, credentials, and certification
  • Board-certification or specialty wording
  • Views-are-my-own / employer disclaimer on personal accounts
  • Individual medical advice given publicly instead of general education
  • Failure to redirect a patient question to a private, secure channel
  • Professional boundaries with patients and the public
  • Disparagement of other providers or professions
  • Interprofessional respect in spine and back-pain content
  • Disability-inclusive language and correct medical terminology
  • Sensationalized or hyperbolic treatment demonstrations
  • Clickbait framing of treatment content
  • Appropriateness of showing spinal manipulation or procedures on camera
  • Undisclosed sponsorship, product placement, or implied endorsement
  • Compensated testimonials without compensation disclosure
  • Content discordant with clinical practice guidelines or current evidence
  • Uncited, undated, or copyrighted shared material
  • Unmoderated comments that create privacy or legal exposure

What ChiroGuard produces

An automated marketing-risk assessment, a compliance-focused review of the wording you submitted, and a lower-risk rewrite you can adapt. Rule references are provided for orientation and should be verified against the current text of the rule.

ChiroGuard produces an automated marketing-risk assessment, not a legal determination and not legal advice. It does not certify content as compliant, and a lower-risk indicator does not guarantee approval by any regulatory agency or advertising platform. Advertising requirements vary by jurisdiction, platform, profession, evidence, and context. Rule references are provided for orientation and should be verified against the current text of the rule. Have content reviewed by a qualified healthcare attorney or compliance professional when necessary.