HRV Certificate


The HRV certificate of completion is intended for anyone who wants to demonstrate that they have followed a standardized training program to learn how to use this modality, but specifically for:

BCIA certificants

  • health care professional who uses it clinically 

  • individuals with no specified clinical background who provide optimal performance training using this modality.

***A BCIA Certificate of Completion is not a designation and as such, certificate holders will not be listed on the website. Only those who have completed the full certification process are listed.***

Where do I start?

All applicants must:

1.   Agree to abide by BCIA’s Professional Standards and Ethical Principles (PSEP),

2.   Complete a BCIA-approved HRV biofeedback didactic program,

3.   Document completion of 3 hours of ethics/professional standards course work, taken within the last 5 years

4.   Pass a nationally standardized online exam based on the 16-hour Blueprint of Knowledge and this Core Reading List.  As of June 2018, the exam must be proctored and there is a required pass score, derived from the review of accumulated psychometric information.

Didactic Education

The 16-hour blueprint content is divided into 6 rubrics as follows:

HRV Anatomy and Physiology                           3 hours                         HRV Measurements                        2 hours

Heart Rate Variability                                         2 hours                         HRV Biofeedback Strategies           4 hours

HRV Instrumentation                                          3 hours                         HRV Applications                            2 hours

BCIA-Accredited Didactic Training Providers

Complete BCIA Blueprint of Knowledge coverage may be documented by courses taken at AAPB and ISNR annual conferences, when offered, or from the following BCIA Accredited Didactic Training Programs.  Each program is responsible for the content, pricing, schedule, and all other information for their course.  Please contact the individual program, not BCIA, should you need further information. 

Ethics/Professional Conduct 

Completion of 3 hours of course work taken within the last 5 years as would be appropriate for BCIA certification or recertification.



The exam may be taken at any time after approval of your application and payment of all fees; however, we recommend it is the last requirement in the process.  Use the Exam Registration Form to register.

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.

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.  You must register with the online proctor at least 3 days prior to the exam date to insure they have enough proctors.

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 [email protected].

  • 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.  

Filing an application

You may file your application at any time you wish during the process.  For the application to be valid, you must include your filing fee.


All applications must include a filing fee:

  • $50 for all students enrolled in a health care degree program at a regionally accredited academic institution according to BCIA certification standards.

  • $50 for all BCIA certificants – BCB, BCN, BCB-PMD

  • $100 for all other applicants

  • $25.00 exam fee must be paid when scheduling your exam

All fees are non-refundable and must be paid in US funds by check or online.

Click here to complete HRV Certificate of Completion Application