HRV Certificate of Completion Exam

The exam may be taken at any time after approval of your application and payment of all fees; however, we recommend it as the last requirement in the process.  *New in 2019 - BCIA has partnered with an online proctoring service who uses cameras and artificial intelligence to monitor your exam progress, even as you test using your own computer.  *COVID - During this time, taking an exam using our online proctor is the only allowable testing method.

Please pay the $25 Special Exam Fee and submit the Special Exam Form, allowing 10 days - 2 weeks to allow us time to make the arrangements.

Once your fees are paid to BCIA and the exam date selected, we will provide you with contact information for this proctoring service. You will need to register with them and pay their $20 proctoring fee.  It works best if you pre-register with them prior to the testing date.

All fees are non-refundable and must be in US funds and paid by check, money order, or credit card. 

The examination is offered in English only and is based on the Blueprint of Knowledge Statements. The exam consists of 50 multiple-choice items and the number of exam items from a blueprint area correspond to the number of hours in that rubric; the smaller the rubric, the fewer questions will be in the exam from that content area.  There is a 2-hour time limit for the exam.

  • A Core Reading List is provided to aid in preparation for the exam and to reinforce the learning of the science, history, and theory of HRV biofeedback.
  • Should you need additional time or special accommodation due to language or other circumstance, please contact the office at
  • Upon confirmation of observed cheating behavior, the candidate will be disqualified. The disqualified candidate will be so notified and the respective score(s) disregarded. Readmission for examination will be considered after a period of two years when the candidate will have to reapply, pay all fees, and acceptance will be contingent upon review of credentials and requirements using criteria for admission applicable at the time of review.  The exam must be administered by BCIA staff, either in the home office or at a scheduled exam site such as AAPB or ISNR.
Applicants Start Here
Biofeedback Certification
HRV Biofeedback Certification
Neurofeedback Certification
Pelvic Muscle Dysfunction Biofeedback Certification
HRV Certificate Program
HRV Certificate of Completion Exam
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