With allegations of sexual misconduct on the rise, this article provides chiropractors with crucial, proactive strategies to protect themselves, their practice, and their patients. It emphasizes that even an unfounded allegation can have a devastating professional and personal impact. The core of risk management lies in maintaining strict professional boundaries. This includes refraining from socializing with patients, avoiding seeing them alone after hours, and using caution with online communication. One of the most critical recommendations is to always have a witness or chaperone present during examinations, especially those that are sensitive in nature, require disrobement, or involve minor patients. Proper patient education is also key; practitioners must clearly explain what an exam will entail, why it is necessary, and obtain verbal consent before proceeding. The article also stresses the importance of ensuring patient privacy, educating all staff on sexual misconduct policies, knowing state-specific reporting laws, and verifying that malpractice insurance provides adequate coverage for defense costs. Finally, meticulous documentation of the clinical indication for sensitive exams, the consent discussion, and the presence of a witness provides a vital layer of legal protection. Implementing these strategies is essential for creating a safe and professional clinical environment.