CCO is governed by a 16-member Council composed of nine chiropractors elected to represent a specific electoral district, and seven public members appointed by the Lieutenant Governor in Council.

CCO’s elections are generally held in March of each year and are conducted pursuant to the Election of Council Members regulation.

The province is divided into seven electoral districts:

District 1: Northern comprising the territorial districts of Kenora, Rainy River, Thunder Bay, Algoma, Cochrane, Manitoulin, Sudbury, Parry Sound, Nipissing, Timiskaming, and the District Municipality of Muskoka

District 2: Eastern comprising the counties of Frontenac, Hastings, Lanark, Prince Edward and Renfrew, and the united counties of Leeds and Grenville, Lennox and Addington, Prescott and Russell, Stormont, Dundas and Glengarry, and the Regional Municipality of Ottawa-Carleton

District 3: Central East comprising the counties of Haliburton, Northumberland, Peterborough, Simcoe, Victoria, and the Regional Municipality of Durham

District 4: Central comprising the Municipality of Metropolitan Toronto and the Regional Municipality of York

District 5: Central West comprising the counties of Brant, Dufferin and Wellington, and the Regional Municipalities of Haldimand-Norfolk, Halton, Hamilton-Wentworth, Niagara, Peel, and Waterloo

District 6: Western comprising the counties of Essex, Bruce, Grey, Kent , Lambton, Elgin, Middlesex, Huron, Perth, and Oxford

District 7: Academic comprising of a faculty member of CMCC from the entire province of Ontario