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Washington Respiratory Therapist License

Washington DOH — Respiratory Care

Total Fee
$135
Processing Time
4 to 6 Weeks
Fingerprints
Required
IdentoGO / WSP
Temp License
Not available
See board

What You'll Need

  • Official Transcripts — Evidence of graduation from a CoARC, CAAHEP, or CAHEA accredited respiratory therapy program.
  • NBRC Credential Verification — Verification of current RRT or CRT certification sent directly from the National Board for Respiratory Care. NBRC Website
  • Out-of-State License Verification — If applicable, verification from every state where you hold or have held a healthcare license.
  • Personal Data Questions — Completed attestation regarding criminal history, disciplinary actions, and health conditions.

How to Apply

  1. Create a Secure Access Washington (SAW) Account
    Register for a SAW account to access the Department of Health's online licensing system (HELMS).
    Sign Up for SAW
  2. Add the HELMS Service
    Log into SAW, select 'Add a New Service,' and choose 'Health Professional and Facility Licensing (HELMS)' from the Department of Health list.
    Online Instructions
  3. Complete the Online Application
    Fill out the Respiratory Care Practitioner application within the HELMS portal, answering all personal data and professional history questions.
    Start Application
  4. Pay Application Fees
    Submit the non-refundable application fee of $140 via credit/debit card (2.5% fee) or electronic check (no fee) through the portal.
  5. Submit Supporting Documents
    Request official transcripts from your respiratory therapy program and verification of NBRC credentials to be sent directly to the DOH.
    Request NBRC Verification
  6. Complete Background Check
    Wait for the DOH to contact you regarding a fingerprint-based background check. Do not schedule this until officially notified.
    Fingerprint Info
Total Fee
$135
Processing Time
4 to 6 Weeks
Fingerprints
Required
Temp License
Not available

Transfer License

Requirements
Respiratory Therapists licensed in another state can often apply via endorsement by providing license verification and current certification.
Apply to transfer

Steps

  1. Verify Substantial Equivalency
    Check if your current state of licensure is considered 'substantially equivalent' by Washington DOH.
    Check Equivalent States
  2. Submit Endorsement Application
    Apply via the HELMS portal using the standard Respiratory Care Practitioner application pathway.
    Apply Online
  3. Request License Verifications
    Contact all states where you have held a license and request they send a verification form directly to Washington DOH.
  4. Provide NBRC Proof
    Ensure your NBRC RRT credential is in good standing and request official verification be sent to the board.
    NBRC Portal
Total Fee
$50
Renewal Cycle
Every 2 years
Compact
No
Board
Washington DOH — Respiratory Care

Keeping Your License Active

Washington Respiratory Therapist licenses renew Every 2 years. Contact the Washington DOH — Respiratory Care for continuing education requirements and renewal deadlines.

Renew on the board site

Fees

ItemAmount
Application$100
Endorsement application$100
Fingerprint check$35.50
Temporary permitSee board
Renewal50.0

Slow Downs

Missing Out-of-State Verifications
Applications cannot be finalized until all state verifications are received directly from the respective boards.
Premature Fingerprinting
Paying for or scheduling fingerprints before receiving a DOH notification can lead to non-refundable fees and processing errors.
Incomplete NBRC Verification
Failure to request an official credential report from the NBRC rather than just providing a certificate copy.
Unpaid Convenience Fees
Online credit card payments require a 2.5% convenience fee; ensure the total amount is cleared.

Questions

How many continuing education hours are required for renewal?
Licensed respiratory care practitioners must complete 30 hours of continuing education every two years.
Is there a specific health equity training requirement?
Yes, beginning January 1, 2024, practitioners must complete 2 hours of health equity training every renewal cycle.
When does my Washington respiratory therapist license expire?
Licenses expire every two years on the practitioner's birthday.
Can I apply for a license if I do not have a Social Security Number?
Yes, you may submit a 'Declaration of No Social Security Number' form along with your application.
Will I receive a paper renewal notice in the mail?
As of May 1, 2025, the DOH no longer sends paper renewal notices; notifications are sent via email.

Board Info

Washington DOH — Respiratory Care
Sources
Washington DOH — Respiratory Care State statutes
Last verified 2026-02-25