Application Instructions for Clinical Entry-Level Pelvic Muscle Dysfunction Biofeedback Certification

BCIA Policies and Procedures

General Information

Board certification in Biofeedback for Pelvic Muscle Dysfunction is awarded upon successful completion of the following requirements:

  • Submission of the BCIA pelvic muscle dysfunction biofeedback certification application and providing the necessary documentation, including a copy of your valid license.
  • Meeting all education/training requirements as outlined in this document.
  • Passing the written examination.
  • Payment of all fees.

Specific Instructions for Completing the Application

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

The following describes the Education/Training Requirements for certification. Provide a signature or separate letter for Items 1 through 5 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.

Please provide the name of the granting institution, the level of the degree, date awarded, and health care field in this space.  This education must be supported by a valid health care license/credential in this field.

Item 1:  License/Credential for Independent Practice

Complete this section on the application and provide a copy of your license/credential issued by an agency in the state or country in which you practice.

If your license has ever been reviewed, investigated, or voluntarily surrendered or suspended, please explain in a separate letter and provide an official statement of the outcome as appropriate.  If your license is currently under review, please do not apply until this matter has been successfully resolved.

Item 2:  Human Anatomy/Physiology

This course work will be verified by your license if it is within the stated health care fields we accept.

If you are currently BCIA-certified in Biofeedback, please check with the office to see if this document is already on file.

Item 3: Didactic Education - 24 hours from a BCIA accredited training program that specifically cover the BCIA PMDB blueprint.
Please provide a transcript, CE certificate or other proof of completion that outlines the areas of the blueprint.

Item 4: Practical Biofeedback Training and Mentoring Contact Hours

At least two mentoring hours are to be direct face-to-face observation. If you are using more than one mentor, you may have the first mentor mark the application to reflect actual time spent. The others may submit separate letters documenting the completion of the requirements OR you may have all mentors write letters to BCIA attesting completion of mentoring requirements using the same language as found on the application.

  • 12 Contact Hours to Review 30 Patient/Client Sessions
    The mentor and candidate are to spend 12 hours engaged in the review of a minimum of 30 patient/client sessions (sessions are 45 – 60 minutes). The candidate is required to take at least 5 patients through a full course of treatment, a minimum of 8 weeks. These contact hours may be done remotely via phone or e-mail, as agreed upon by the mentor and candidate.
  • 6 Contact Hours – Supplemental Mentoring
    Six mentoring contact hours are used to expand the candidate’s scope of knowledge and training and to evaluate the candidate’s proficiency with providing patient education.
  • Practicum/Personal Training – 4 hours
    This requirement is documented by a certificate of attendance from a BCIA-accredited training provider or by a mentor’s signature provided on the application. Candidates who are certified in biofeedback are not required to complete the 1 hour practicum for neuromuscular relaxation.

Provide your BCIA-approved mentor’s signature on the application or in a separate Mentoring Statement specifying that you completed the requirements for clinical training as outlined.   Please use this mentor's log to keep track and note your progress throughout the mentoring process.  This log is to be submitted upon completion of clinical training.

Item 5: Written Certification Exam.

Upon filing of your application, payment of all fees, and written approval, you may make plans to take the written certification exam.  BCIA offers the exam at several sites across the country at no additional fee.  Please use the Exam Registration form.  For a small additional fee, one may use our Special Exam Option that allows the use of a university or public library proctor to monitor the confidentiality and the progress of the exam at a location and a time that is convenient. 


Signature:  Without your signature, the application is invalid.

Further Information on the BCIA Program

Written 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 pelvic muscle dysfunction biofeedback for the treatment of elimination disorders and pelvic pain syndromes.

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. A passing score is determined by the Board.

Any concern which occurs during the written examination must be brought to the attention of the proctor immediately. Any issue not brought to the attention of the proctor should be reported in writing to BCIA within three days of the examination. Failure to do so may result in BCIA declining to take the issue into consideration.

If the candidate feels that an error was made in the scoring of the written examination, he/she may request a rescoring of the examination. This request must be in writing and accompanied by a rescoring fee of $50.

  • Seating for the Exam - Approved applicants must have filed a signed application, provided proof of their health care degree, and submitted the appropriate certification fees ($195 - $295). Individuals currently certified in Biofeedback pay a certification fee of $195.
  • 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. 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 $50 for the online version, in addition to the certification fees. Please submit an 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.
  • Notification of Results - Candidates are notified of exam results in writing within two weeks of testing.  BCIA does not release examination results to third parties.

Withdrawal and Reapplication

  • In the event a candidate elects to withdraw an application after submission, payment of fees, and formal review of BCIA, there are no refunds.  All fees are non-refundable.
  • If an application has been withdrawn, the individual may reapply by submitting a new application, meeting current requirements and paying applicable fees.

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:

  • passing the written examination OR
  • by self-attestation of 36 hours of accredited continuing education including 3 hours of professional standards or ethics, as specified by BCIA during the third year of certification and payment of a recertification fee of $150.

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 three years later, thereby maintaining continuity of certification.

Agreement - BCIA Policies and Procedures for Dispute Resolution

This agreement must be signed and dated for this application to be accepted.  Please read carefully.

1. In these policies and procedures of the Biofeedback Certification International Alliance (BCIA) for Dispute Resolution, "policies and procedures" refers to the policies and procedures of the BCIA as they may be amended from time to time.

2. The form of application for certification and recertification by BCIA shall include the following agreement which sets forth five points which reflect the policies and procedures with respect BCIA's certification programs, is incorporated in these policies and procedures and is to be separately signed and dated by the applicant:

• I, the undersigned, do hereby make voluntary application to the Biofeedback Certification International Alliance - formerly the Biofeedback Certification Institute of America (BCIA). I certify that the information given by way of this application is true, honest, and completely represents me.

•  I will conform to all applicable local, state, and federal regulations and conduct myself consistent with the highest standards relating to my profession and specialty.

•  I have received, read and agree to be bound by the BCIA Professional Standards and Ethical Principles of Biofeedback (PSEP) and their policies and procedures. I understand that the PSEP and any BCIA policies and procedures may be amended from time to time and that I am bound by these documents as amended. I also understand that in accordance with such policies and procedures:

    (a) the final determination of any dispute arising between me and BCIA will be made by its board of directors and that I will be bound by the board's determination and may not seek review;

    (b) however, if grounds exist that would permit a court to overturn or modify the board's determination or otherwise act in the matter, that I will seek redress only in Denver, CO and only by arbitration in accordance with such policies and procedures; and

    (c) because I have agreed that the board's determination is final and binding upon me, I am likely to be required to pay the costs, reasonable attorney fees and other expenses of BCIA in any proceedings instituted by me.

•  I understand and agree that BCIA and its affiliates assume no responsibility for my actions or activities. I practice at my own risk and hereby release BCIA from any and all liability from any practice decisions I make.

•  I hereby give permission to BCIA to contact individuals or agencies listed for verification of information submitted. I recognize that failure to do so may result in disciplinary action including suspension or revocation of my certification.

3. The venue for any arbitration under these policies and procedures and proceedings with respect to the arbitration or other redress sought by a party who has agreed to be bound by the policies and procedures, shall be the city and county of Denver, state of Colorado, United States of America.

4. The arbitrator shall be designated by the board of directors.

5. The board of directors may specify a set of rules with respect to the arbitration that the arbitrator designated is familiar with. However, in the case of any conflict between any provision of the policies and procedures and a provision of such rules, the provision of the policies and procedures controls over the provision of such rules to the extent of any inconsistency.

6. The institution of any action, suit or other proceeding by a party bound by these policies and procedures that is not permitted under these policies and procedures shall be considered as a demand for arbitration under these policies and procedures and the board of directors may designate an arbitrator to hear and determine the matter and specify a set of rules with respect to the arbitration. The arbitrator shall enter an award which shall be dispositive of all matters raised in such other action or proceeding and any other matters as may be raised by such party to the extent permitted by the policies and procedures. 

7. The arbitrator shall have the power and authority to determine the validity and scope of the arbitration agreement of the parties, the jurisdiction of the arbitrator, the arbitrability of matters presented, whether or not a party is bound by these policies and procedures, and all other matters to the fullest extent as may be permitted by an arbitration agreement of the parties under the proposed act for arbitration as revised and promulgated by the Uniform Law Commission in the year 2000 known as the Uniform Arbitration Act (2000) as such act is informed by the prefactory note and comments issued by the Uniform Law Commission with the act as so revised and promulgated, or, if more extensive power or authority may be conferred upon an arbitration under the Federal Arbitration Act, then to the fullest extent as may be permitted under the Federal Arbitration Act with respect to any such matter.

8. The arbitrator is bound in making the award and his or her other determinations by the PSEP as the PSEP may be amended from time to time and by these policies and procedures. The arbitrator shall have no power or authority to act or refrain from acting in any manner that is inconsistent in any respect with either the PSEP as so amended or these policies and procedures. The foregoing two sentences control over the other policies and procedures as they relate to arbitration or other redress by an applicant.

Certification Policies

BCIA policies/guidelines, fees, and deadlines are subject to change without notice. BCIA has the prerogative to establish and reverse policies and 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 maintaining regular contact with the BCIA Office.


Fees may be paid in US funds by check, money order, or credit card using our online links. In order to protect you, please use our online payment links.

Certification Fees

$245 if the applicant is a member of APTA, AOTA, SUNA, or AAPB
$295 for non-affiliated professionals
$195 to file an application, valid for 2 years, if you are currently BCIA-certified in biofeedback
Recertification Fees:

Recertification: January 1–June 30:  $150    July 1 – October 31:  $175    After November 1:  $200
Dual Recert:     January 1–June 30:  $100    July 1 – October 31:  $125    After November 1:  $150 -***refers to having one or more valid BCIA certification such as biofeedback and PMDB.

Replacement or Duplicate Certificate Fee = $25

Exam Fees

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

Applicants Start Here
Biofeedback Certification
HRV Biofeedback Certification
Neurofeedback Certification
Pelvic Muscle Dysfunction Biofeedback Certification
Why Choose BCIA Pelvic Muscle Dysfunction Biofeedback Certification?
Entry-Level Certification
Application Instructions
Anatomy and Physiology
Certification by Prior Experience
Technician Certification
Didactic Training
Common Documents
HRV Certificate Program
Application Status
Online Payment Options
Is There a State/Regional Biofeedback Society Near you?