Overview of Clinical Entry-Level Biofeedback Certification

Overview of Requirements - Certification at a Glance

- Health care degree:  A minimum of a BA/BS degree from a regionally accredited academic institution in a health care field such as psychology, medicine, counseling, nursing, etc. is required as well as completion of the following requirements:

- Human anatomy, human physiology, or human biology course

- Didactic education course covering the blueprint taken from a BCIA accredited training program.

- Mentoring to learn the application of clinical skills

- Written certification exam

This brochure will provide a quick review of the certification program or for more detail, scroll down.

Basic Information

Please be sure to read this information carefully and consider the expense of each item and exactly how you will be able to document completion.  This will assure you that you have accurately evaluated all costs involved and that you can successfully complete all requirements.  Remember - if you are unlicensed and have no equipment, it may actually be that you are requesting an internship which is very different than merely learning the application of practical skills inside your own work place environment.

Biofeedback certification includes peripheral modalities such as EMG, temperature skin conductance, HRV, and respiration training. Upon completion of these requirements, you will earn the designation Board Certified in Biofeedback or BCB™.

This certification is open to professionals from clinical health care areas including, but not limited to, psychology, nursing (includes all licensed RNs), counseling, and therapy who hold a degree from a regionally-accredited academic institution (an Accredited Institution of Postsecondary Education as determined by the American Council on Education). If you are unlicensed, a signed, sealed, original transcript from the university that granted your highest degree must be directly submitted to BCIA. If you carry an appropriate state-issued credential that allows you to practice independently in your state, please submit a copy of that license.

Acceptable Degrees

BCIA-approved health care fields include: psychology, nursing (including 2-year registered nurses with license; not LVNs or LPNs), physical therapy, respiratory therapy, occupational therapy, social work, counseling, rehabilitation, chiropractic, recreational therapy, dental hygiene, physician's assistant (with certification or license), exercise physiology, speech pathology, and sports medicine. The following fields require a master's degree: music therapy and counseling education (MEd in counseling). Appropriately-credentialed doctors of medicine and dentistry are also accepted. Degrees in health care fields other than those listed above must be submitted to the Certification Review Committee.

Only the highest degree earned in a BCIA approved health care field from a regionally accredited academic institution will be listed on the Find a Practitioner area of this website.

BCIA will consider requests for special review for the demonstration of equivalency for most of our requirements, including prerequisite education. However, degree review requests must be compared to a BCIA-approved clinical health care field.

License for Independent Practice

When treating a medical or psychological disorder, you are required to hold a current license/credential issued by the state in which you practice in a BCIA-approved health care field. Without this license/credential, you must agree to work under the supervision of an appropriately-credentialed health care professional when working with a medical or psychological disorder.  This supervisor should have training and experience with biofeedback and clinical experience with the populations and disorders being treated.  For further clarification, please read this document.


BCIA welcomes appropriately credentialed health care professionals from any country or region outside the United States and Canada. Until such time as a country or region forms a BCIA affiliate organization (a la Australia), then BCIA will require all applicants for certification who reside outside the US or Canada to demonstrate that they have a license to practice in an approved health profession in the country where they reside. Degrees earned outside the United States must be translated and evaluated by an organization that is a member of the National Association of Credential Evaluation Services (NACES) at www.naces.org.
**If you have a license from a field such as medicine or psychology and your credential is in English, you do NOT need to submit  evaluated transcripts for this.

BCIA offers a structured fee schedule to suit the financial realities in different countries and regions.  Please use this link to see if your country may use a different fee structure.  As you will notice, both the filing fee and the certification fees have been combined into one.  Please contact BCIA at info@bcia.org if you have any questions about the fees.

Certification Requirements

Candidates must demonstrate the completion of:

Human A&P Course

A human anatomy, human physiology, or human biology course from a regionally-accredited academic institution covering the organization of the human body and all 11 systems is required.

Didactic Education

A 42-hour didactic education program specifically covering all topics as listed in the Blueprint of Knowledge is required and must be taken from either a BCIA-accredited training program or a regionally-accredited academic institution. If coursework in Instrumentation or Professional Conduct was taken through a prior accredited didactic workshop for a neurofeedback certification, these topics will not have to be repeated.

Mentoring - Practical Skills Training

  • 20 contact hours spent with a BCIA-approved mentor to learn to apply clinical biofeedback skills through the review of 10 sessions of self-regulation, 50 patient/client sessions, and 10 case conference presentations. Should you file your application prior to completion of this requirement, your mentor may use this statement to document the training.
  • Lists of BCIA-certified providers who may serve as mentors are available through Find a Practitioner. Refer to the Mentoring Guidelines for further information.
    **New in 2014 - BCIA offers mentoring webinars that provide 1 hour of contact time to review 2 case conference presentations.  Please note that only 5 mentoring webinars may be used to fulfill the certification requirement as they will offer the full 10 case conference presentations.  It is NOT recommended that you take all 5 webinars at once. Should you wish to take more mentoring webinars simply to learn, that is allowed; however you will only earn 5 contact hours using this method. Click here to see a list of the recorded sessions.

Filing an Application

Certification Exam





Applicants Start Here
Biofeedback Certification
Why Choose BCIA Biofeedback Certification?
Clinical Certification
Technician Certification
Didactic Training
Common Documents
Neurofeedback Certification
Pelvic Muscle Dysfunction Biofeedback Certification
HRV Certificate Program
Application Status
Online Payment Options
Is There a State/Regional Biofeedback Society Near you?