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, and submitted your application, you will receive an email with your pending credential number, or you may look on Provider Credential Search. Refer to this credential number any time you contact Department of Health or submit paperwork.
- Apply on paper
Fee Schedule
- See fee information below
- Fee Schedule
Non-Refundable Fee Type Fee Amount Original application $215 License renewal
- Renewal
- Late renewal penalty
- Expired license reissuance
$215
$110
$65Duplicate license $10 Verification of license $25 WAC 246-12-340 – Refund of fees
Fees submitted with applications for initial credentialing, examinations, renewal, and other fees associated with the licensing and regulation of the profession are non-refundable.