Medical Integration Made Simple with Massingill

Maintain Control Over the Business You’ve Built

Integrate with a physician-owner while maintaining control over the company you’ve worked hard to build. Stay in the driver’s seat.

Fine-tune Your Practice

Provide broad medical services to the public in a fully-integrated environment or simply add a few services to your clinic’s offerings. The choice is yours.

Keep 100% of Retained Earnings and Clinic Sale Proceeds

Integrated practices may be customized to suit a variety of business arrangements, including those in which a DC-owner keeps up to 100% of retained earnings.

Provide Better Care to Patients

Promote health and wellness by offering select medical services to the public. Employ specialists to meet your patients’ medical needs.

Expand The Scope of Services Your Company Offers

Medical integration does not expand the scope of services a chiropractor may perform, but does expand the services your company may offer to patients.

Maximize Profitability

Diversifying your clinic’s offerings may create new revenue streams and increase patient satisfaction. This may translate into increased profit.

New Medical Integration
$5,000
Filing of Documents with Secretary of State
Certificate of Formation (Articles of Organization)
Company Operating Agreement
Shareholder Agreement
HIPAA Business Associate Agreement
Employment Agreement for Medical Director
Employment Agreements for Physicians
Employment Agreements for Physician Assistants
Employment Agreements for Nurse Practitioners
Employment Agreements for Doctors of Chiropractic
Employment Agreements for Physical Therapists
Assumed Business Name (if required)
Banking Resolution
Legal Handbook for Integrated Practices
Get Started
Dual-Entity to Single-Entity Conversion
$4,000
Revised Company Operating Agreement
Ownership Interest Purchase Agreement
Bill of Sale and Assignment
Shareholder Agreement
HIPAA Business Associate Agreement
Employment Agreement for Medical Director
Employment Agreements for Physicians
Employment Agreements for Physician Assistants
Employment Agreements for Nurse Practitioners
Employment Agreements for Doctors of Chiropractic
Employment Agreements for Physical Therapists
Assumed Business Name (if required)
Banking Resolution
Legal Handbook for Integrated Practices
Get Started


Integrating is easier than ever before.

Texas law now allows Doctors of Chiropractic to form jointly-operated business entities with physicians. Governor Greg Abbott signed SB 679 into law on June 1, 2017. The bill eliminated the legal and logistical hurdles that previously discouraged Texas DC’s from providing collaborative care to patients.

We can help you medically integrate your chiropractic practice using one single business entity that you manage and control. And the company can be structured to allow you to keep up to 100% of retained earnings and the proceeds of an eventual clinic sale. We can also convert older “dual entity” practices into new, streamlined “single-entity” practices that provide these advantages.

Experienced counsel. Reliable advice.

Successful integration requires a corporate structure that complies with state and federal law and the many rules promulgated by the Texas Board of Chiropractic Examiners, the Texas Medical Board and other state agencies. We can ensure strict compliance with these guidelines and maximize your operational and financial control over your practice.

Joshua Massingill is an attorney and lobbyist for the Texas Chiropractic Association. He assisted in drafting SB 679 and helped guide the bill to passage. He helps Texas chiropractors successfully navigate complex legal issues and is widely regarded as a knowledgable, experienced healthcare attorney.

Medical Integration FAQ

Will medical integration expand the scope of my practice?

Is medical integration really necessary?

Is medical integration complicated?