Courses must be in the following subject categories to count towards Missouri’s 24 formal hours: Diagnostic imaging (X ray), Differential or physical diagnosis or both, Record keeping and/or Subjective Objective Assessment Plan (SOAP) notes, Principles, techniques, and/or adjunctive procedures, or Meridian therapy/acupressure/acupuncture (MTAA) or Insurance Consultant Certification. https://pr.mo.gov/chiropractors-continuing-education.asp