Certification Requirements

In order to qualify for a reflexology certification in this state all applicants must show completion of a state-approved reflexology school or apprenticeship program before qualifying for a license, per RCW 18.108.070.

To qualify for certification, applicants must:

• Complete a course of study in an approved reflexology school, program, or apprenticeship program that has a minimum of 200 hours of instruction and includes the skills in WAC 246-831-040.
• Have the reflexology school, program, or apprenticeship program mail the school completion form with the date of completion listed directly to the department.

• Thirty hours of reflexology theory, history, zones, reflex points and relaxation response, and contraindications 
• Forty hours of study of body systems as related to reflexology 
• Thirty hours of anatomy and physiology 
• Five hours of business practice involving ethics, business standards, and local/state laws and ordinances pertaining to the practice of reflexology 
• Twenty-five hours or more of supervised practicum or clinical work 
• Seventy hours of additional homework hours that can include giving and documenting client sessions, as well as other written work 

When an application is received, it will be initially reviewed for completeness. At that time, any additional information or materials deemed necessary will be requested. The application will then be provided to the secretary for review. The secretary will then either deny, approve, or conditionally approve the application. 

Before your program is approved, the secretary may conduct a site review and periodic site reviews thereafter to ensure continued compliance with the standards for approval. The site review will consist of a self-evaluation, to be completed by the school, and a visit to the school by a representative of the department. 

At the time of a scheduled site review, if your school or program has recently been reviewed by another accrediting agency, a copy of their review may be accepted by the secretary in lieu of an additional site review. Information from the other review will be used to determine whether credentialing requirements have been satisfied. 

The secretary has the final authority to determine if the information is complete and if it meets the established standards. Reflexology school program applications are available online. 

The secretary must receive the application in a three-ring binder. Reflexology school application is considered to be complete and ready for the secretary's review when it contains the following: 

• Table of Contents in the front of each binder; 
• an index; 
• consecutively numbered pages; and 
• Original school catalog in each binder. 

The following are approved reflexology schools, as of January 2025:

Reflexology Academy NW 
Linda Frank 
9124 Portland Ave. E. 
Tacoma, WA 98445 
253-576-9541 

School of Therapeutic Reflexology 
Terry Hoskins 
6140 Capitol Blvd. S.E., Ste. C 
Tumwater, WA 98501 
360-349-3623

Applicant must take and pass the American Reflexology Certification Board (ARCB) written examination. The applicant is responsible for ensuring that an official verification of the applicant's successful completion of the examination is submitted to the Department of Health.

Applicant must take and pass the online Washington State Reflexology Jurisprudence Examination.

Applicants must list all states where they do or did hold credentials. This list must also include when the applicant has applied for a credential, even if a credential was not granted. The jurisdiction where the applicant is or was credentialed must complete and submit the verification form (PDF). The jurisdiction must send the completed form directly to the department.

Each applicant must answer the personal data questions. If there is a positive answer to the professional liability claims history question, the applicant must send an explanation of the nature of the case, data, and summary of care given, copies of the original complaint, and the settlement or final disposition. If the case is pending, the applicant must indicate status.

Applicant must be at least 18 years of age as required under WAC 246-831-010.