Application Instructions for Biofeedback Clinical Certification by Prior Experience

BCIA Policies and Procedures for Biofeedback Certification by Prior Experience

General Information

Board certification by prior experience in biofeedback is awarded upon successful completion of the following requirements:

  • Submission of the application and providing the required documentation.
  • Meeting all education/training requirements as outlined in this document.
  • Payment of all fees.
  • Completion of the validation exam.

Upon completion of the requirements as listed, you will have earned the privilege to sign your name and add BCB - Board Certified in Biofeedback - after your other credentials.

Specific Instructions for Completing the Application

Please provide all information as completely as possible. Remember to use the same address on all correspondence.

Provide a signature or separate letter for items as requested on the application and enclose the necessary documentation. Clearly reference all documentation submitted by numbering each document accordingly.

An underlined segment denotes special instructions for completing that particular portion of the application.

Item 1: Current CV or Resume (Professional Career/Employment History)

The CV or Resume should provide a detailed list of your entire occupational history, giving the Board a comprehensive overview of your professional experience.

Item 2: Education - Highest Degree

A master's degree or higher from a regionally-accredited academic institution in a BCIA-approved health care field is required. Accepted fields include: psychology, medicine, nursing (including two-year registered nurses with license, not LVNs or LPNs), physical therapy, respiratory therapy, occupational therapy, social work, counseling, rehabilitation, chiropractic, recreational therapy, dental hygiene, dentistry, 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 (M.Ed. in counseling).   Degrees in health care fields other than those listed above must be submitted to the Special Review Committee.

BCIA does not grant waivers but rather looks for equivalencies. If you have a degree in a health care field other than something listed in our requirements, you may file for a special review for degree equivalency. Please refer to the document entitled Special Review. It is up to you to select a BCIA-approved health care field and demonstrate to the review committee how you believe your course work is equivalent. Degrees earned outside of the United States will be accepted only if the documents have been translated and evaluated by an agency accredited by the National Association of Credential Evaluation Services (NACES).

Enter the educational institution, degree, date awarded, and BCIA-approved health care field for the highest degree received in a BCIA health care field. Please request the institution send a sealed official copy of a transcript showing your highest degree directly to BCIA.

Item 3: License/Credential for Independent Practice

If your license is currently or ever was under review, please provide a detailed letter explaining the situation.  Applications where the license is currently under formal review by a state agency will not be considered until the matter is completely and satisfactorily resolved which leads to full reinstatement of the license.

Item 4: 100 Hours of Biofeedback-Relevant, Accredited, Post-Professional Education

Courses must cover the 42 hours of BCIA Blueprint of Knowledge education. The remaining 58 hours may be completed by any other BCIA-approved continuing education venue in any area of the Blueprint and should document your continued involvement in the field over the last ten years.

Provide a transcript from an accredited college or university OR proof of successful completion of a course from a BCIA-accredited training program.

Item 5-A: Statement of Clinical Practice - 3,000 Patient/Client Hours of Relevant Experience

A minimum of 3,000 hours of biofeedback work with patients/clients is required over at least five years, and a majority of these hours must be from the past ten years. Highlight this work on your CV or resume and provide a written statement of clinical practice documenting these hours.

Item 5-B: Verification of Clinical Practice

Submit three letters of verification from fellow professionals who can attest to the accuracy of your Statement of Clinical Practice. It is strongly suggested (but not required) that one recommendation come from a BCIA certificant. Letters must come directly from the author and can be sent via hard copy or e-mail.

Item 6: Human Anatomy/Physiology, or Human Biology Course work

Please check all options that apply to you. If you check "Other Courses," be sure to provide a list of these courses in the space provided.

Item 7: Mentoring

Attestation to a minimum of 25 working hours with a more experienced professional is required for BCIA certification. This is the work you did initially when you added biofeedback to your practice.

Supplemental Experience and Professional Activity

  • Professional Instruction - Note or highlight on the CV any courses (academic or professional workshop) that you have taught within the past five years. Submit the title of the course, its date, and where it was taught. Only accredited courses will be considered by the Board.
  • Research/Publication - Note on the CV or submit the title of any relevant peer-reviewed publications that you participated in.
  • Presentations at Professional Society/Organization Meetings - Note on the CV or submit any relevant presentations given at Board-recognized meetings (AAPB, ISNR, APA, etc.). Provide the title of the presentations, its date, and the location and it was presented at.
  • Leadership Activities - Note on the CV or submit a list of all relevant activities to further demonstrate your professional involvement in the field. Detailed explanations providing information about your roles and responsibilities are appreciated.
  • Prior BCIA Certification - If answering "yes," please note the year of your original certification. Also, be sure to note if your certification was "grandfathered".


Without your signature, the application is invalid.

Further Information on the BCIA Program

Written Validation Examination

Successful completion is required. The examination is offered in English only and is based on the Blueprint of Knowledge statements. These statements incorporate the basic principles of biofeedback in the blueprint areas that a biofeedback professional should know.

Written examinations are offered in the spring in conjunction with the AAPB Annual Meeting, in the fall at ISNR, and at other locations throughout the year. The three-hour examination consists of multiple-choice items.You are required to complete this exam but are not held to a specific passing score.  Your  participation is being used in conjunction with other scores to provide valuable input on the reliability of the exam items.

  • Seating for the Validation Exam - Approved applicants must have filed a signed application, provided proof of their health care degree, and submitted the $425 certification fees. Individuals currently certified in Neurofeedback or Pelvic Muscle Dysfunction pay an application filing fee of $150 certification fee of $75.
  • CPE Special Exams - BCIA policies allow qualified applicants to take exams locally at a time and place that is convenient. Written exams may be taken at a college or university testing center or through a proctoring service as may be provided by a public library. Fees charged by the testing facility are the obligation of the applicant. The Request for Special Written Exams must be received two weeks prior to the requested seating. The fee for the special exam is $100 for the paper/pencil version or $25 for the online version, in addition to the certification fees. Please submit an special exam registration form with all necessary information completed.
  • Cancellation - If an examination is cancelled by the applicant, written notification must be received at least 14 days prior to the exam date or a cancellation fee of $50 will apply.
  • Examination Ethics Policy - Examination questions, answers and procedures are proprietary and confidential. Candidates must agree not to disclose or discuss examination contents with anyone unless authorized in writing by the BCIA Board of Directors. Failure to comply with this regulation is a violation of BCIA ethics.

Withdrawal and Reapplication

A candidate may withdraw their application at any time; however all fees are non-refundable.

Verification of Information

All information submitted by the applicant is subject to verification. Falsification of information by a candidate is grounds for automatic rejection of the application, forfeiture of all fees, and denial of future applications for certification.


Recertification is obtained by:

  • by self-attestation of 48 hours of accredited continuing education, including 3 hours of professional standards or ethics as specified by BCIA during the fourth year of certification and payment of a recertification fee OR
  • passing the written examination.

Ten percent of all recertification applications are audited. In this event, BCIA will request documentation of the continuing education. Recertification applications are available in the Certificants area of the website. Recertification notification is sent to all certificants during their last year of certification. Successful candidates for recertification are issued new certificates valid January 1 until December 31 four years later, thereby maintaining continuity of certification.

Certification Policies

BCIA policies/guidelines, fees, and deadlines are subject to change without notice. BCIA has the prerogative to establish and reverse policies, procedures, including fees and dates for certification and recertification as deemed appropriate without notice. It is the candidate’s responsibility to stay current on any changes by reading any emails sent or reviewing updates to the website.


Review within BCIA will be the final determination of all matters arising between the candidate and BCIA. However, if you believe grounds exist that would permit a court to overturn or modify BCIA’s action, you may seek redress only through arbitration in Denver, CO. We suggest that you consult an attorney before invoking the arbitration procedure.

The applicant shall be liable for the cost of any arbitration or court proceedings, including reasonable attorney fees, that are expended by BCIA in the defense of any proceedings brought by the applicant where the applicant does or does not prevail.


Fees may be paid in US funds by check, money order, or credit card and are non-refundable. You may pay all fees online using these links.

Certification Fees

Filing Fees = $150 to file an application
Certification Fees = $275 covering one scheduled seating of the written certification exam ($75 for individuals currently certified in Neurofeedback or Pelvic Muscle Dysfunction Biofeedback)
Recertification Fee = $225 for applications received on or before June 30; $250 for applications received on or before October 31; and $275 for applications received on or before November 1.
Replacement or Duplicate Certificate Fee = $25

Exam Fees

Exam Cancellation Fee = $50
Special Exam Fee = $100 for paper pencil or $25 for the online version

Applicants Start Here
Biofeedback Certification
Why Choose BCIA Biofeedback 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?