Apply for a Certification

The following forms are required for completing the application process. Please download and print forms.

Apply online

Getting started

Online Application Instructions

Online application instructions are on our website.

Once you have completed the process, you will find your pending credential number on Provider Credential Search. Refer to this credential number any time you contact the Department of Health or submit paperwork.

Apply on paper

• Colon hydrotherapist application packet (PDF)
• National Certification/Registration Form (PDF)
• Training Affiliation Relationship Form (PDF)
• Training Attestation (PDF)
• Affiliation Relationship Registration Form (PDF)

Fee Schedule

See fee information below

WAC 246-836A-990 – Fees

• Original application - $215
• License renewal - $215
  • Late renewal penalty - $110
  • Expired license reissuance - $65
• Duplicate license - $10
• Verification of license - $25

Fees submitted with applications for initial credentialing, examinations, renewal, and other fees associated with the licensing and regulation of the profession are non-refundable, per WAC 246-12-340.