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Georgia Respiratory Therapy — Requirements & Free Practice

US-GA · License preparation

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Respiratory Care Professional

Board certification to practice respiratory care, called licensure in current Board application materials.

Licensing authority: Georgia Composite Medical Board · Application information

Initial — Legacy CRT credential obtained through the discontinued entry level CRT examination
No examination is required for this applicant pathway.
Affidavit
Submit notarized Form F with a current passport photograph and matching applicant/notary signature dates.
Application
Submit a completed Board application and required fees; incomplete applications become invalid after 12 months. The current initial checklist specifies a $150 application fee.
Citizenship
Provide the affidavit and secure, verifiable document required by Rule 360-13-.01(1); noncitizens provide applicable immigration documentation and alien number for SAVE verification.
Data Bank
Submit the NPDB/HIPDB self-query response as directed by the Board checklist.
Education Verification
The current initial checklist requires Form A sent directly by the respiratory therapy program.
Employment History
Submit a chronological CV covering education and employment and explain training or experience gaps.
Historical Examination
The Board minutes state the CRT examination ceased in December 2014 and TMC replaced it in January 2015. The discontinued examination score and qualifying active credential are prior applicant evidence, not a currently offered examination leaf.
License Verification
Send Form C for direct verification by every licensing authority where a respiratory-care license or certificate is or was held.
Military Discharge
If previously discharged from the Armed Forces, submit the discharge document.
Minimum Age
At least 18 years old.
Nbrc Qualification
Hold an active NBRC CRT credential issued before March 15, 2020, obtained through the former entry-level CRT examination.
Nbrc Verification
Send Form D to NBRC for direct credential verification to the Board.
Other Approved Exam
O.C.G.A. 43-34-144(a)(4) permits another examination administered or approved in the Board discretion; no identifiable additional examination is specified.
Physician Supervision
O.C.G.A. 43-34-144(b) requires practice under the supervision or direction of a physician licensed under Article 2, including continued supervision to maintain certification.
Sanctions
Must not be currently sanctioned under O.C.G.A. 43-34-149.

Official no-examination sources

Effective from 2026-09-22.

Initial — Legacy CRT credential obtained through TMC
Therapist Multiple-Choice Examination
Affidavit
Submit notarized Form F with a current passport photograph and matching applicant/notary signature dates.
Application
Submit a completed Board application and required fees; incomplete applications become invalid after 12 months. The current initial checklist specifies a $150 application fee.
Citizenship
Provide the affidavit and secure, verifiable document required by Rule 360-13-.01(1); noncitizens provide applicable immigration documentation and alien number for SAVE verification.
Data Bank
Submit the NPDB/HIPDB self-query response as directed by the Board checklist.
Education Verification
The current initial checklist requires Form A sent directly by the respiratory therapy program.
Employment History
Submit a chronological CV covering education and employment and explain training or experience gaps.
License Verification
Send Form C for direct verification by every licensing authority where a respiratory-care license or certificate is or was held.
Military Discharge
If previously discharged from the Armed Forces, submit the discharge document.
Minimum Age
At least 18 years old.
Nbrc Qualification
Hold an active NBRC CRT credential issued before March 15, 2020, obtained through the Therapist Multiple-Choice examination.
Nbrc Verification
Send Form D to NBRC for direct credential verification to the Board.
Other Approved Exam
O.C.G.A. 43-34-144(a)(4) permits another examination administered or approved in the Board discretion; no identifiable additional examination is specified.
Physician Supervision
O.C.G.A. 43-34-144(b) requires practice under the supervision or direction of a physician licensed under Article 2, including continued supervision to maintain certification.
Previous Passage
A qualifying preexisting active CRT credential is accepted under current Rule 360-13-.01(4)(b). Previous passage of the currently offered TMC remains an examination leaf; this credential exception does not require CSE.
Sanctions
Must not be currently sanctioned under O.C.G.A. 43-34-149.
Initial — Legacy CRTT credential
No examination is required for this applicant pathway.
Affidavit
Submit notarized Form F with a current passport photograph and matching applicant/notary signature dates.
Application
Submit a completed Board application and required fees; incomplete applications become invalid after 12 months. The current initial checklist specifies a $150 application fee.
Citizenship
Provide the affidavit and secure, verifiable document required by Rule 360-13-.01(1); noncitizens provide applicable immigration documentation and alien number for SAVE verification.
Data Bank
Submit the NPDB/HIPDB self-query response as directed by the Board checklist.
Education Verification
The current initial checklist requires Form A sent directly by the respiratory therapy program.
Employment History
Submit a chronological CV covering education and employment and explain training or experience gaps.
Historical Examination
The Board historical examination list identifies CRTT as offered before July 1, 1999; the Board entry-examination replacement notice states TMC is offered from January 2015. The qualifying historical CRTT credential and examination score are applicant evidence, not a currently offered examination leaf.
License Verification
Send Form C for direct verification by every licensing authority where a respiratory-care license or certificate is or was held.
Military Discharge
If previously discharged from the Armed Forces, submit the discharge document.
Minimum Age
At least 18 years old.
Nbrc Qualification
Hold an active NBRC Certified Respiratory Therapy Technician (CRTT) credential issued before July 1, 1999.
Nbrc Verification
Send Form D to NBRC for direct credential verification to the Board.
Other Approved Exam
O.C.G.A. 43-34-144(a)(4) permits another examination administered or approved in the Board discretion; no identifiable additional examination is specified.
Physician Supervision
O.C.G.A. 43-34-144(b) requires practice under the supervision or direction of a physician licensed under Article 2, including continued supervision to maintain certification.
Sanctions
Must not be currently sanctioned under O.C.G.A. 43-34-149.

Official no-examination sources

Effective from 2026-09-22.

Initial — Active RRT credential
Affidavit
Submit notarized Form F with a current passport photograph and matching applicant/notary signature dates.
Application
Submit a completed Board application and required fees; incomplete applications become invalid after 12 months. The current initial checklist specifies a $150 application fee.
Citizenship
Provide the affidavit and secure, verifiable document required by Rule 360-13-.01(1); noncitizens provide applicable immigration documentation and alien number for SAVE verification.
Data Bank
Submit the NPDB/HIPDB self-query response as directed by the Board checklist.
Education Verification
The current initial checklist requires Form A sent directly by the respiratory therapy program.
Employment History
Submit a chronological CV covering education and employment and explain training or experience gaps.
License Verification
Send Form C for direct verification by every licensing authority where a respiratory-care license or certificate is or was held.
Military Discharge
If previously discharged from the Armed Forces, submit the discharge document.
Minimum Age
At least 18 years old.
Nbrc Qualification
Hold an active NBRC Registered Respiratory Therapists (RRT) credential.
Nbrc Verification
Send Form D to NBRC for direct credential verification to the Board.
Other Approved Exam
O.C.G.A. 43-34-144(a)(4) permits another examination administered or approved in the Board discretion; no identifiable additional examination is specified.
Physician Supervision
O.C.G.A. 43-34-144(b) requires practice under the supervision or direction of a physician licensed under Article 2, including continued supervision to maintain certification.
Previous Passage
The examination leaves identify the currently offered registered TMC and CSE examination series involved in the RRT qualification. Georgia requires the active credential, not a new sitting by every credential holder; an already-earned active RRT satisfies the credential condition. The Board historical examination-name passages identify the series, and their superseded date windows are not applied as current requirements.
Sanctions
Must not be currently sanctioned under O.C.G.A. 43-34-149.
Late renewal within three months
No examination is required for this applicant pathway.
Attestation And Audit
Answer renewal-form compliance questions, retain CE documentation for five years, and provide documentation on Board audit or request. These application attestations are not a scored examination.
Ce Alternatives
Rule 360-13-.10(9) accepts multiple types of CE, including unspecified NBRC self-assessment and credential examinations. Optional CE mechanisms do not identify a required offered examination in this renewal route.
Ce Waiver
A substantial-hardship request for variance or waiver must include the renewal application and fee and a statement complying with O.C.G.A. 50-13-9.1.
Citizenship
Comply with Rule 360-13-.07(8); previously supplied United States citizenship affidavit and verifiable document need not be resubmitted.
Continuing Education
Complete 30 contact hours or 3 CEUs in the two preceding years, subject to the first-renewal exemption for applicants initially licensed by examination for less than two years.
Interval
Renew biennially by the last day of the birthday month and pay the required renewal fee.
Late Period
Late renewal is available during the three months after expiration with completed required CE and the late-renewal fee; no practice on an expired certificate. After three months apply for reinstatement.

Official no-examination sources

Effective from 2026-09-22.

Military Expedited Initial — Legacy CRT credential obtained through the discontinued entry level CRT examination
No examination is required for this applicant pathway.
Affidavit
Submit notarized Form F with a current passport photograph and matching applicant/notary signature dates.
Application
Submit a completed Board application and required fees; incomplete applications become invalid after 12 months. The current initial checklist specifies a $150 application fee.
Citizenship
Provide the affidavit and secure, verifiable document required by Rule 360-13-.01(1); noncitizens provide applicable immigration documentation and alien number for SAVE verification.
Data Bank
Submit the NPDB/HIPDB self-query response as directed by the Board checklist.
Education Verification
The current initial checklist requires Form A sent directly by the respiratory therapy program.
Employment History
Submit a chronological CV covering education and employment and explain training or experience gaps.
Historical Examination
The Board minutes state the CRT examination ceased in December 2014 and TMC replaced it in January 2015. The discontinued examination score and qualifying active credential are prior applicant evidence, not a currently offered examination leaf.
License Verification
Send Form C for direct verification by every licensing authority where a respiratory-care license or certificate is or was held.
Military Discharge
If previously discharged from the Armed Forces, submit the discharge document.
Military Eligibility
Under Rule 360-37-.02, a military spouse or transitioning service member may obtain expedited processing upon paying the fee and satisfying the ordinary license requirements. A transitioning member is within 24 months of retirement or 12 months of separation. The statutory spouse-only endorsement route is separately retained as an unresolved secondary route, not merged into this ordinary application.
Minimum Age
At least 18 years old.
Nbrc Qualification
Hold an active NBRC CRT credential issued before March 15, 2020, obtained through the former entry-level CRT examination.
Nbrc Verification
Send Form D to NBRC for direct credential verification to the Board.
Other Approved Exam
O.C.G.A. 43-34-144(a)(4) permits another examination administered or approved in the Board discretion; no identifiable additional examination is specified.
Physician Supervision
O.C.G.A. 43-34-144(b) requires practice under the supervision or direction of a physician licensed under Article 2, including continued supervision to maintain certification.
Sanctions
Must not be currently sanctioned under O.C.G.A. 43-34-149.

Official no-examination sources

Effective from 2026-09-22.

Military Expedited Initial — Legacy CRT credential obtained through TMC
Therapist Multiple-Choice Examination
Affidavit
Submit notarized Form F with a current passport photograph and matching applicant/notary signature dates.
Application
Submit a completed Board application and required fees; incomplete applications become invalid after 12 months. The current initial checklist specifies a $150 application fee.
Citizenship
Provide the affidavit and secure, verifiable document required by Rule 360-13-.01(1); noncitizens provide applicable immigration documentation and alien number for SAVE verification.
Data Bank
Submit the NPDB/HIPDB self-query response as directed by the Board checklist.
Education Verification
The current initial checklist requires Form A sent directly by the respiratory therapy program.
Employment History
Submit a chronological CV covering education and employment and explain training or experience gaps.
License Verification
Send Form C for direct verification by every licensing authority where a respiratory-care license or certificate is or was held.
Military Discharge
If previously discharged from the Armed Forces, submit the discharge document.
Military Eligibility
Under Rule 360-37-.02, a military spouse or transitioning service member may obtain expedited processing upon paying the fee and satisfying the ordinary license requirements. A transitioning member is within 24 months of retirement or 12 months of separation. The statutory spouse-only endorsement route is separately retained as an unresolved secondary route, not merged into this ordinary application.
Minimum Age
At least 18 years old.
Nbrc Qualification
Hold an active NBRC CRT credential issued before March 15, 2020, obtained through the Therapist Multiple-Choice examination.
Nbrc Verification
Send Form D to NBRC for direct credential verification to the Board.
Other Approved Exam
O.C.G.A. 43-34-144(a)(4) permits another examination administered or approved in the Board discretion; no identifiable additional examination is specified.
Physician Supervision
O.C.G.A. 43-34-144(b) requires practice under the supervision or direction of a physician licensed under Article 2, including continued supervision to maintain certification.
Previous Passage
A qualifying preexisting active CRT credential is accepted under current Rule 360-13-.01(4)(b). Previous passage of the currently offered TMC remains an examination leaf; this credential exception does not require CSE.
Sanctions
Must not be currently sanctioned under O.C.G.A. 43-34-149.
Military Expedited Initial — Legacy CRTT credential
No examination is required for this applicant pathway.
Affidavit
Submit notarized Form F with a current passport photograph and matching applicant/notary signature dates.
Application
Submit a completed Board application and required fees; incomplete applications become invalid after 12 months. The current initial checklist specifies a $150 application fee.
Citizenship
Provide the affidavit and secure, verifiable document required by Rule 360-13-.01(1); noncitizens provide applicable immigration documentation and alien number for SAVE verification.
Data Bank
Submit the NPDB/HIPDB self-query response as directed by the Board checklist.
Education Verification
The current initial checklist requires Form A sent directly by the respiratory therapy program.
Employment History
Submit a chronological CV covering education and employment and explain training or experience gaps.
Historical Examination
The Board historical examination list identifies CRTT as offered before July 1, 1999; the Board entry-examination replacement notice states TMC is offered from January 2015. The qualifying historical CRTT credential and examination score are applicant evidence, not a currently offered examination leaf.
License Verification
Send Form C for direct verification by every licensing authority where a respiratory-care license or certificate is or was held.
Military Discharge
If previously discharged from the Armed Forces, submit the discharge document.
Military Eligibility
Under Rule 360-37-.02, a military spouse or transitioning service member may obtain expedited processing upon paying the fee and satisfying the ordinary license requirements. A transitioning member is within 24 months of retirement or 12 months of separation. The statutory spouse-only endorsement route is separately retained as an unresolved secondary route, not merged into this ordinary application.
Minimum Age
At least 18 years old.
Nbrc Qualification
Hold an active NBRC Certified Respiratory Therapy Technician (CRTT) credential issued before July 1, 1999.
Nbrc Verification
Send Form D to NBRC for direct credential verification to the Board.
Other Approved Exam
O.C.G.A. 43-34-144(a)(4) permits another examination administered or approved in the Board discretion; no identifiable additional examination is specified.
Physician Supervision
O.C.G.A. 43-34-144(b) requires practice under the supervision or direction of a physician licensed under Article 2, including continued supervision to maintain certification.
Sanctions
Must not be currently sanctioned under O.C.G.A. 43-34-149.

Official no-examination sources

Effective from 2026-09-22.

Military Expedited Initial — Active RRT credential
Affidavit
Submit notarized Form F with a current passport photograph and matching applicant/notary signature dates.
Application
Submit a completed Board application and required fees; incomplete applications become invalid after 12 months. The current initial checklist specifies a $150 application fee.
Citizenship
Provide the affidavit and secure, verifiable document required by Rule 360-13-.01(1); noncitizens provide applicable immigration documentation and alien number for SAVE verification.
Data Bank
Submit the NPDB/HIPDB self-query response as directed by the Board checklist.
Education Verification
The current initial checklist requires Form A sent directly by the respiratory therapy program.
Employment History
Submit a chronological CV covering education and employment and explain training or experience gaps.
License Verification
Send Form C for direct verification by every licensing authority where a respiratory-care license or certificate is or was held.
Military Discharge
If previously discharged from the Armed Forces, submit the discharge document.
Military Eligibility
Under Rule 360-37-.02, a military spouse or transitioning service member may obtain expedited processing upon paying the fee and satisfying the ordinary license requirements. A transitioning member is within 24 months of retirement or 12 months of separation. The statutory spouse-only endorsement route is separately retained as an unresolved secondary route, not merged into this ordinary application.
Minimum Age
At least 18 years old.
Nbrc Qualification
Hold an active NBRC Registered Respiratory Therapists (RRT) credential.
Nbrc Verification
Send Form D to NBRC for direct credential verification to the Board.
Other Approved Exam
O.C.G.A. 43-34-144(a)(4) permits another examination administered or approved in the Board discretion; no identifiable additional examination is specified.
Physician Supervision
O.C.G.A. 43-34-144(b) requires practice under the supervision or direction of a physician licensed under Article 2, including continued supervision to maintain certification.
Previous Passage
The examination leaves identify the currently offered registered TMC and CSE examination series involved in the RRT qualification. Georgia requires the active credential, not a new sitting by every credential holder; an already-earned active RRT satisfies the credential condition. The Board historical examination-name passages identify the series, and their superseded date windows are not applied as current requirements.
Sanctions
Must not be currently sanctioned under O.C.G.A. 43-34-149.
Military Expedited Reciprocity — Legacy CRT credential obtained through the discontinued entry level CRT examination
No examination is required for this applicant pathway.
Affidavit
Submit notarized Form F with a current passport photograph and matching applicant/notary signature dates.
Application
Submit a completed Board application and required fees; incomplete applications become invalid after 12 months. The current initial checklist specifies a $150 application fee.
Citizenship
Provide the affidavit and secure, verifiable document required by Rule 360-13-.01(1); noncitizens provide applicable immigration documentation and alien number for SAVE verification.
Data Bank
Submit the NPDB/HIPDB self-query response as directed by the Board checklist.
Education Verification
The current initial checklist requires Form A sent directly by the respiratory therapy program.
Employment History
Submit a chronological CV covering education and employment and explain training or experience gaps.
Historical Examination
The Board minutes state the CRT examination ceased in December 2014 and TMC replaced it in January 2015. The discontinued examination score and qualifying active credential are prior applicant evidence, not a currently offered examination leaf.
License Verification
Send Form C for direct verification by every licensing authority where a respiratory-care license or certificate is or was held.
Military Discharge
If previously discharged from the Armed Forces, submit the discharge document.
Military Eligibility
Under Rule 360-37-.02, a military spouse or transitioning service member may obtain expedited processing upon paying the fee and satisfying the ordinary license requirements. A transitioning member is within 24 months of retirement or 12 months of separation. The statutory spouse-only endorsement route is separately retained as an unresolved secondary route, not merged into this ordinary application.
Minimum Age
At least 18 years old.
Nbrc Qualification
Hold an active NBRC CRT credential issued before March 15, 2020, obtained through the former entry-level CRT examination.
Nbrc Verification
Send Form D to NBRC for direct credential verification to the Board.
Other Approved Exam
O.C.G.A. 43-34-144(a)(4) permits another examination administered or approved in the Board discretion; no identifiable additional examination is specified.
Out Of State Authority
Hold current authority to practice respiratory care in another state whose requirements substantially equal or exceed Georgia requirements; obtain sworn direct verification from that authority.
Physician Supervision
O.C.G.A. 43-34-144(b) requires practice under the supervision or direction of a physician licensed under Article 2, including continued supervision to maintain certification.
Reciprocity Continuing Education
Verify continuing education; if not practicing for 12 months or more, provide CE for each biennial period not practicing, maximum 60 contact hours.
Sanctions
Must not be currently sanctioned under O.C.G.A. 43-34-149.

Official no-examination sources

Effective from 2026-09-22.

Military Expedited Reciprocity — Legacy CRT credential obtained through TMC
Therapist Multiple-Choice Examination
Affidavit
Submit notarized Form F with a current passport photograph and matching applicant/notary signature dates.
Application
Submit a completed Board application and required fees; incomplete applications become invalid after 12 months. The current initial checklist specifies a $150 application fee.
Citizenship
Provide the affidavit and secure, verifiable document required by Rule 360-13-.01(1); noncitizens provide applicable immigration documentation and alien number for SAVE verification.
Data Bank
Submit the NPDB/HIPDB self-query response as directed by the Board checklist.
Education Verification
The current initial checklist requires Form A sent directly by the respiratory therapy program.
Employment History
Submit a chronological CV covering education and employment and explain training or experience gaps.
License Verification
Send Form C for direct verification by every licensing authority where a respiratory-care license or certificate is or was held.
Military Discharge
If previously discharged from the Armed Forces, submit the discharge document.
Military Eligibility
Under Rule 360-37-.02, a military spouse or transitioning service member may obtain expedited processing upon paying the fee and satisfying the ordinary license requirements. A transitioning member is within 24 months of retirement or 12 months of separation. The statutory spouse-only endorsement route is separately retained as an unresolved secondary route, not merged into this ordinary application.
Minimum Age
At least 18 years old.
Nbrc Qualification
Hold an active NBRC CRT credential issued before March 15, 2020, obtained through the Therapist Multiple-Choice examination.
Nbrc Verification
Send Form D to NBRC for direct credential verification to the Board.
Other Approved Exam
O.C.G.A. 43-34-144(a)(4) permits another examination administered or approved in the Board discretion; no identifiable additional examination is specified.
Out Of State Authority
Hold current authority to practice respiratory care in another state whose requirements substantially equal or exceed Georgia requirements; obtain sworn direct verification from that authority.
Physician Supervision
O.C.G.A. 43-34-144(b) requires practice under the supervision or direction of a physician licensed under Article 2, including continued supervision to maintain certification.
Previous Passage
A qualifying preexisting active CRT credential is accepted under current Rule 360-13-.01(4)(b). Previous passage of the currently offered TMC remains an examination leaf; this credential exception does not require CSE.
Reciprocity Continuing Education
Verify continuing education; if not practicing for 12 months or more, provide CE for each biennial period not practicing, maximum 60 contact hours.
Sanctions
Must not be currently sanctioned under O.C.G.A. 43-34-149.
Military Expedited Reciprocity — Legacy CRTT credential
No examination is required for this applicant pathway.
Affidavit
Submit notarized Form F with a current passport photograph and matching applicant/notary signature dates.
Application
Submit a completed Board application and required fees; incomplete applications become invalid after 12 months. The current initial checklist specifies a $150 application fee.
Citizenship
Provide the affidavit and secure, verifiable document required by Rule 360-13-.01(1); noncitizens provide applicable immigration documentation and alien number for SAVE verification.
Data Bank
Submit the NPDB/HIPDB self-query response as directed by the Board checklist.
Education Verification
The current initial checklist requires Form A sent directly by the respiratory therapy program.
Employment History
Submit a chronological CV covering education and employment and explain training or experience gaps.
Historical Examination
The Board historical examination list identifies CRTT as offered before July 1, 1999; the Board entry-examination replacement notice states TMC is offered from January 2015. The qualifying historical CRTT credential and examination score are applicant evidence, not a currently offered examination leaf.
License Verification
Send Form C for direct verification by every licensing authority where a respiratory-care license or certificate is or was held.
Military Discharge
If previously discharged from the Armed Forces, submit the discharge document.
Military Eligibility
Under Rule 360-37-.02, a military spouse or transitioning service member may obtain expedited processing upon paying the fee and satisfying the ordinary license requirements. A transitioning member is within 24 months of retirement or 12 months of separation. The statutory spouse-only endorsement route is separately retained as an unresolved secondary route, not merged into this ordinary application.
Minimum Age
At least 18 years old.
Nbrc Qualification
Hold an active NBRC Certified Respiratory Therapy Technician (CRTT) credential issued before July 1, 1999.
Nbrc Verification
Send Form D to NBRC for direct credential verification to the Board.
Other Approved Exam
O.C.G.A. 43-34-144(a)(4) permits another examination administered or approved in the Board discretion; no identifiable additional examination is specified.
Out Of State Authority
Hold current authority to practice respiratory care in another state whose requirements substantially equal or exceed Georgia requirements; obtain sworn direct verification from that authority.
Physician Supervision
O.C.G.A. 43-34-144(b) requires practice under the supervision or direction of a physician licensed under Article 2, including continued supervision to maintain certification.
Reciprocity Continuing Education
Verify continuing education; if not practicing for 12 months or more, provide CE for each biennial period not practicing, maximum 60 contact hours.
Sanctions
Must not be currently sanctioned under O.C.G.A. 43-34-149.

Official no-examination sources

Effective from 2026-09-22.

Military Expedited Reciprocity — Active RRT credential
Affidavit
Submit notarized Form F with a current passport photograph and matching applicant/notary signature dates.
Application
Submit a completed Board application and required fees; incomplete applications become invalid after 12 months. The current initial checklist specifies a $150 application fee.
Citizenship
Provide the affidavit and secure, verifiable document required by Rule 360-13-.01(1); noncitizens provide applicable immigration documentation and alien number for SAVE verification.
Data Bank
Submit the NPDB/HIPDB self-query response as directed by the Board checklist.
Education Verification
The current initial checklist requires Form A sent directly by the respiratory therapy program.
Employment History
Submit a chronological CV covering education and employment and explain training or experience gaps.
License Verification
Send Form C for direct verification by every licensing authority where a respiratory-care license or certificate is or was held.
Military Discharge
If previously discharged from the Armed Forces, submit the discharge document.
Military Eligibility
Under Rule 360-37-.02, a military spouse or transitioning service member may obtain expedited processing upon paying the fee and satisfying the ordinary license requirements. A transitioning member is within 24 months of retirement or 12 months of separation. The statutory spouse-only endorsement route is separately retained as an unresolved secondary route, not merged into this ordinary application.
Minimum Age
At least 18 years old.
Nbrc Qualification
Hold an active NBRC Registered Respiratory Therapists (RRT) credential.
Nbrc Verification
Send Form D to NBRC for direct credential verification to the Board.
Other Approved Exam
O.C.G.A. 43-34-144(a)(4) permits another examination administered or approved in the Board discretion; no identifiable additional examination is specified.
Out Of State Authority
Hold current authority to practice respiratory care in another state whose requirements substantially equal or exceed Georgia requirements; obtain sworn direct verification from that authority.
Physician Supervision
O.C.G.A. 43-34-144(b) requires practice under the supervision or direction of a physician licensed under Article 2, including continued supervision to maintain certification.
Previous Passage
The examination leaves identify the currently offered registered TMC and CSE examination series involved in the RRT qualification. Georgia requires the active credential, not a new sitting by every credential holder; an already-earned active RRT satisfies the credential condition. The Board historical examination-name passages identify the series, and their superseded date windows are not applied as current requirements.
Reciprocity Continuing Education
Verify continuing education; if not practicing for 12 months or more, provide CE for each biennial period not practicing, maximum 60 contact hours.
Sanctions
Must not be currently sanctioned under O.C.G.A. 43-34-149.
Military expired license renewal
No examination is required for this applicant pathway.
Attestation And Audit
Answer renewal-form compliance questions, retain CE documentation for five years, and provide documentation on Board audit or request. These application attestations are not a scored examination.
Ce Alternatives
Rule 360-13-.10(9) accepts multiple types of CE, including unspecified NBRC self-assessment and credential examinations. Optional CE mechanisms do not identify a required offered examination in this renewal route.
Ce Waiver
A substantial-hardship request for variance or waiver must include the renewal application and fee and a statement complying with O.C.G.A. 50-13-9.1.
Citizenship
Comply with Rule 360-13-.07(8); previously supplied United States citizenship affidavit and verifiable document need not be resubmitted.
Continuing Education
Complete 30 contact hours or 3 CEUs in the two preceding years, subject to the first-renewal exemption for applicants initially licensed by examination for less than two years.
Interval
Renew biennially by the last day of the birthday month and pay the required renewal fee.
Military Exception
A service member whose license expired while on active duty outside Georgia may practice on the expired license and renew without penalty within six months after discharge or reassignment to Georgia; provide official orders or commanding-officer verification.

Official no-examination sources

Effective from 2026-09-22.

Reciprocity — Legacy CRT credential obtained through the discontinued entry level CRT examination
No examination is required for this applicant pathway.
Affidavit
Submit notarized Form F with a current passport photograph and matching applicant/notary signature dates.
Application
Submit a completed Board application and required fees; incomplete applications become invalid after 12 months. The current initial checklist specifies a $150 application fee.
Citizenship
Provide the affidavit and secure, verifiable document required by Rule 360-13-.01(1); noncitizens provide applicable immigration documentation and alien number for SAVE verification.
Data Bank
Submit the NPDB/HIPDB self-query response as directed by the Board checklist.
Education Verification
The current initial checklist requires Form A sent directly by the respiratory therapy program.
Employment History
Submit a chronological CV covering education and employment and explain training or experience gaps.
Historical Examination
The Board minutes state the CRT examination ceased in December 2014 and TMC replaced it in January 2015. The discontinued examination score and qualifying active credential are prior applicant evidence, not a currently offered examination leaf.
License Verification
Send Form C for direct verification by every licensing authority where a respiratory-care license or certificate is or was held.
Military Discharge
If previously discharged from the Armed Forces, submit the discharge document.
Minimum Age
At least 18 years old.
Nbrc Qualification
Hold an active NBRC CRT credential issued before March 15, 2020, obtained through the former entry-level CRT examination.
Nbrc Verification
Send Form D to NBRC for direct credential verification to the Board.
Other Approved Exam
O.C.G.A. 43-34-144(a)(4) permits another examination administered or approved in the Board discretion; no identifiable additional examination is specified.
Out Of State Authority
Hold current authority to practice respiratory care in another state whose requirements substantially equal or exceed Georgia requirements; obtain sworn direct verification from that authority.
Physician Supervision
O.C.G.A. 43-34-144(b) requires practice under the supervision or direction of a physician licensed under Article 2, including continued supervision to maintain certification.
Reciprocity Continuing Education
Verify continuing education; if not practicing for 12 months or more, provide CE for each biennial period not practicing, maximum 60 contact hours.
Sanctions
Must not be currently sanctioned under O.C.G.A. 43-34-149.

Official no-examination sources

Effective from 2026-09-22.

Reciprocity — Legacy CRT credential obtained through TMC
Therapist Multiple-Choice Examination
Affidavit
Submit notarized Form F with a current passport photograph and matching applicant/notary signature dates.
Application
Submit a completed Board application and required fees; incomplete applications become invalid after 12 months. The current initial checklist specifies a $150 application fee.
Citizenship
Provide the affidavit and secure, verifiable document required by Rule 360-13-.01(1); noncitizens provide applicable immigration documentation and alien number for SAVE verification.
Data Bank
Submit the NPDB/HIPDB self-query response as directed by the Board checklist.
Education Verification
The current initial checklist requires Form A sent directly by the respiratory therapy program.
Employment History
Submit a chronological CV covering education and employment and explain training or experience gaps.
License Verification
Send Form C for direct verification by every licensing authority where a respiratory-care license or certificate is or was held.
Military Discharge
If previously discharged from the Armed Forces, submit the discharge document.
Minimum Age
At least 18 years old.
Nbrc Qualification
Hold an active NBRC CRT credential issued before March 15, 2020, obtained through the Therapist Multiple-Choice examination.
Nbrc Verification
Send Form D to NBRC for direct credential verification to the Board.
Other Approved Exam
O.C.G.A. 43-34-144(a)(4) permits another examination administered or approved in the Board discretion; no identifiable additional examination is specified.
Out Of State Authority
Hold current authority to practice respiratory care in another state whose requirements substantially equal or exceed Georgia requirements; obtain sworn direct verification from that authority.
Physician Supervision
O.C.G.A. 43-34-144(b) requires practice under the supervision or direction of a physician licensed under Article 2, including continued supervision to maintain certification.
Previous Passage
A qualifying preexisting active CRT credential is accepted under current Rule 360-13-.01(4)(b). Previous passage of the currently offered TMC remains an examination leaf; this credential exception does not require CSE.
Reciprocity Continuing Education
Verify continuing education; if not practicing for 12 months or more, provide CE for each biennial period not practicing, maximum 60 contact hours.
Sanctions
Must not be currently sanctioned under O.C.G.A. 43-34-149.
Reciprocity — Legacy CRTT credential
No examination is required for this applicant pathway.
Affidavit
Submit notarized Form F with a current passport photograph and matching applicant/notary signature dates.
Application
Submit a completed Board application and required fees; incomplete applications become invalid after 12 months. The current initial checklist specifies a $150 application fee.
Citizenship
Provide the affidavit and secure, verifiable document required by Rule 360-13-.01(1); noncitizens provide applicable immigration documentation and alien number for SAVE verification.
Data Bank
Submit the NPDB/HIPDB self-query response as directed by the Board checklist.
Education Verification
The current initial checklist requires Form A sent directly by the respiratory therapy program.
Employment History
Submit a chronological CV covering education and employment and explain training or experience gaps.
Historical Examination
The Board historical examination list identifies CRTT as offered before July 1, 1999; the Board entry-examination replacement notice states TMC is offered from January 2015. The qualifying historical CRTT credential and examination score are applicant evidence, not a currently offered examination leaf.
License Verification
Send Form C for direct verification by every licensing authority where a respiratory-care license or certificate is or was held.
Military Discharge
If previously discharged from the Armed Forces, submit the discharge document.
Minimum Age
At least 18 years old.
Nbrc Qualification
Hold an active NBRC Certified Respiratory Therapy Technician (CRTT) credential issued before July 1, 1999.
Nbrc Verification
Send Form D to NBRC for direct credential verification to the Board.
Other Approved Exam
O.C.G.A. 43-34-144(a)(4) permits another examination administered or approved in the Board discretion; no identifiable additional examination is specified.
Out Of State Authority
Hold current authority to practice respiratory care in another state whose requirements substantially equal or exceed Georgia requirements; obtain sworn direct verification from that authority.
Physician Supervision
O.C.G.A. 43-34-144(b) requires practice under the supervision or direction of a physician licensed under Article 2, including continued supervision to maintain certification.
Reciprocity Continuing Education
Verify continuing education; if not practicing for 12 months or more, provide CE for each biennial period not practicing, maximum 60 contact hours.
Sanctions
Must not be currently sanctioned under O.C.G.A. 43-34-149.

Official no-examination sources

Effective from 2026-09-22.

Reciprocity — Active RRT credential
Affidavit
Submit notarized Form F with a current passport photograph and matching applicant/notary signature dates.
Application
Submit a completed Board application and required fees; incomplete applications become invalid after 12 months. The current initial checklist specifies a $150 application fee.
Citizenship
Provide the affidavit and secure, verifiable document required by Rule 360-13-.01(1); noncitizens provide applicable immigration documentation and alien number for SAVE verification.
Data Bank
Submit the NPDB/HIPDB self-query response as directed by the Board checklist.
Education Verification
The current initial checklist requires Form A sent directly by the respiratory therapy program.
Employment History
Submit a chronological CV covering education and employment and explain training or experience gaps.
License Verification
Send Form C for direct verification by every licensing authority where a respiratory-care license or certificate is or was held.
Military Discharge
If previously discharged from the Armed Forces, submit the discharge document.
Minimum Age
At least 18 years old.
Nbrc Qualification
Hold an active NBRC Registered Respiratory Therapists (RRT) credential.
Nbrc Verification
Send Form D to NBRC for direct credential verification to the Board.
Other Approved Exam
O.C.G.A. 43-34-144(a)(4) permits another examination administered or approved in the Board discretion; no identifiable additional examination is specified.
Out Of State Authority
Hold current authority to practice respiratory care in another state whose requirements substantially equal or exceed Georgia requirements; obtain sworn direct verification from that authority.
Physician Supervision
O.C.G.A. 43-34-144(b) requires practice under the supervision or direction of a physician licensed under Article 2, including continued supervision to maintain certification.
Previous Passage
The examination leaves identify the currently offered registered TMC and CSE examination series involved in the RRT qualification. Georgia requires the active credential, not a new sitting by every credential holder; an already-earned active RRT satisfies the credential condition. The Board historical examination-name passages identify the series, and their superseded date windows are not applied as current requirements.
Reciprocity Continuing Education
Verify continuing education; if not practicing for 12 months or more, provide CE for each biennial period not practicing, maximum 60 contact hours.
Sanctions
Must not be currently sanctioned under O.C.G.A. 43-34-149.
Biennial renewal
No examination is required for this applicant pathway.
Attestation And Audit
Answer renewal-form compliance questions, retain CE documentation for five years, and provide documentation on Board audit or request. These application attestations are not a scored examination.
Ce Alternatives
Rule 360-13-.10(9) accepts multiple types of CE, including unspecified NBRC self-assessment and credential examinations. Optional CE mechanisms do not identify a required offered examination in this renewal route.
Ce Waiver
A substantial-hardship request for variance or waiver must include the renewal application and fee and a statement complying with O.C.G.A. 50-13-9.1.
Citizenship
Comply with Rule 360-13-.07(8); previously supplied United States citizenship affidavit and verifiable document need not be resubmitted.
Continuing Education
Complete 30 contact hours or 3 CEUs in the two preceding years, subject to the first-renewal exemption for applicants initially licensed by examination for less than two years.
Interval
Renew biennially by the last day of the birthday month and pay the required renewal fee.

Official no-examination sources

Effective from 2026-09-22.

Clinical Simulation Examination

Provider
The National Board for Respiratory Care (NBRC); administered Monday through Saturday at more than 300 assessment centers through the NBRC testing agency PSI
Format
Computer-based clinical simulation examination of patient-management problems with information-gathering and decision-making sections; each section of each problem is classified to a minor content heading of the Detailed Content Outline. Admission requires the CRT and a TMC pass at the high cut score; with the implementation of the Respiratory Therapy Examination the CSE is available only to those who passed the TMC at the high cut score by December 31, 2026, and it ends December 31, 2027
Exam questions
22 problems: 20 scored and 2 pretest
Time limit
4 hours
Passing score
Points associated with the candidate’s set of responses are summed across the whole examination into one score compared with a cut score linked to examination committee decisions on whether each positively-scored option is required as a demonstration of minimal competence
Exam fee
$200 for both new and repeat applicants
Examination outline
  • I. PATIENT DATA
    • I.A. Evaluate Data in the Patient Record — 1. Patient history, for example, history of present illness (HPI), orders, medication reconciliation, progress notes, DNR status / advance directives, social, family, and medical history; 2. Physical examination relative to the cardiopulmonary system; 3. Lines, drains, and airways, for example, chest tube, vascular lines, artificial airway; 4. Laboratory results, for example, CBC, electrolytes, coagulation studies, sputum culture and sensitivities, cardiac biomarkers; 5. Blood gas analysis and / or hemoximetry (CO-oximetry) results; 6. Pulmonary function testing results, for example spirometry, lung volumes, DLCO; 7. 6-minute walk test results; 8. Imaging study results, for example, chest radiograph, CT scan, ultrasonography and / or echocardiography, PET scan, ventilation / perfusion scan; 9. Maternal and perinatal / neonatal history, for example, Apgar scores, gestational age, L / S ratio; 10. Sleep study results, for example, apnea-hypopnea index (AHI); 11. Trends in monitoring results: a. fluid balance; b. vital signs; c. intracranial pressure; d. ventilator liberation parameters; e. pulmonary mechanics; f. noninvasive, for example, pulse oximetry, capnography, transcutaneous; g. cardiac evaluation / monitoring results, for example, ECG, hemodynamic parameters; 12. Determination of a patient's pathophysiological state
    • I.B. Perform Clinical Assessment — 1. Interviewing a patient to assess a. level of consciousness and orientation, emotional state, and ability to cooperate; b. level of pain; c. shortness of breath, sputum production, and exercise tolerance; d. smoking history; e. environmental exposures; f. activities of daily living; g. learning needs, for example, literacy, preferred learning style, social / cultural; 2. Performing inspection to assess a. general appearance; b. characteristics of the airway, for example, patency, Mallampati classification, tracheal shift; c. cough, sputum amount and character; d. status of a neonate, for example, Apgar score, gestational age; e. skin integrity, for example, pressure ulcers, stoma site; 3. Palpating to assess a. pulse, rhythm, intensity; b. accessory muscle activity; c. asymmetrical chest movements, tactile fremitus, crepitus, tenderness, tactile rhonchi, and / or tracheal deviation; 4. Performing diagnostic chest percussion; 5. Auscultating to assess a. breath sounds; b. heart sounds and rhythm; c. blood pressure; 6. Reviewing a chest radiograph to assess a. quality of imaging, for example, patient positioning, penetration, lung inflation; b. presence and position of airways, lines, and drains; c. presence of foreign bodies; d. heart size and position; e. presence of, or change in, (i) cardiopulmonary abnormalities, for example, pneumothorax, consolidation, pleural effusion, pulmonary edema, pulmonary artery size; (ii) diaphragm, mediastinum, and / or trachea
    • I.C. Perform Procedures to Gather Clinical Information — 1. 12-lead ECG; 2. Noninvasive monitoring, for example, pulse oximetry, capnography, transcutaneous; 3. Peak flow; 4. Mechanics of spontaneous ventilation linked to tidal volume, minute volume, maximal inspiratory pressure, and vital capacity; 5. Blood gas sample collection; 6. Blood gas analysis and / or hemoximetry (CO-oximetry); 7. Oxygen titration with exercise; 8. Cardiopulmonary calculations, for example, P(A-a)O2, VD / VT, P/F, OI; 9. Hemodynamic monitoring; 10. Pulmonary compliance and airways resistance; 11. Plateau pressure; 12. Auto-PEEP determination; 13. Spontaneous breathing trial (SBT); 14. Apnea monitoring; 15. Apnea test (brain death determination); 16. Overnight pulse oximetry; 17. CPAP / NPPV titration during sleep; 18. Cuff management, for example, tracheal, laryngeal; 19. Sputum induction; 20. Cardiopulmonary exercise testing; 21. 6-minute walk test; 22. Spirometry outside or inside a pulmonary function laboratory; 23. DLCO inside a pulmonary function laboratory; 24. Lung volumes inside a pulmonary function laboratory; 25. Tests of respiratory muscle strength - MIP and MEP; 26. Therapeutic bronchoscopy
    • I.D. Evaluate Procedure Results — 1. 12-lead ECG; 2. Noninvasive monitoring, for example, pulse oximetry, capnography, transcutaneous; 3. Peak flow; 4. Mechanics of spontaneous ventilation linked to tidal volume, minute volume, maximal inspiratory pressure, and vital capacity; 5. Blood gas analysis and / or hemoximetry (CO-oximetry); 6. Oxygen titration with exercise; 7. Cardiopulmonary calculations, for example, P(A-a)O2, VD / VT, P/F, OI; 8. Hemodynamic monitoring; 9. Pulmonary compliance and airways resistance; 10. Plateau pressure; 11. Auto-PEEP; 12. Spontaneous breathing trial (SBT); 13. Apnea monitoring; 14. Apnea test (brain death determination); 15. Overnight pulse oximetry; 16. CPAP / NPPV titration during sleep; 17. Cuff status, for example, laryngeal, tracheal; 18. Cardiopulmonary exercise testing; 19. 6-minute walk test; 20. Spirometry outside or inside a pulmonary function laboratory; 21. DLCO inside a pulmonary function laboratory; 22. Lung volumes inside a pulmonary function laboratory; 23. Tests of respiratory muscle strength - MIP and MEP
    • I.E. Recommend Diagnostic Procedures — 1. Testing for tuberculosis; 2. Laboratory tests, for example, CBC, electrolytes, coagulation studies, sputum culture and sensitivities, cardiac biomarkers; 3. Imaging studies; 4. Bronchoscopy a. diagnostic; b. therapeutic; 5. Bronchoalveolar lavage (BAL); 6. Pulmonary function testing; 7. Noninvasive monitoring, for example, pulse oximetry, capnography, transcutaneous; 8. Blood gas and/or hemoximetry (CO-oximetry); 9. ECG; 10. Exhaled gas analysis, for example, CO2, CO, FENO; 11. Hemodynamic monitoring; 12. Sleep studies; 13. Thoracentesis
  • II. TROUBLESHOOTING AND QUALITY CONTROL OF EQUIPMENT, AND INFECTION CONTROL
    • II.A. Assemble /Troubleshoot Devices — 1. Medical gas delivery interfaces, for example, mask, cannula, heated high-flow nasal cannula; 2. Long-term oxygen therapy; 3. Medical gas delivery, metering, and /or clinical analyzing devices, for example, concentrator, liquid system, flowmeter, regulator, gas cylinder, blender, air compressor, gas analyzers; 4. CPAP / NPPV with patient interfaces; 5. Humidifiers; 6. Nebulizers; 7. Metered-dose inhalers, spacers, and valved holding chambers; 8. Dry-powder inhalers (DPI); 9. Resuscitation equipment, for example, self-inflating resuscitator, flow-inflating resuscitator, AED; 10. Mechanical ventilators; 11. Intubation equipment; 12. Artificial airways; 13. Suctioning equipment, for example, regulator, canister, tubing, catheter; 14. Blood analyzers, for example, hemoximetry (CO-oximetry), point-of-care, blood gas; 15. Patient breathing circuits; 16. Hyperinflation devices; 17. Secretion clearance devices; 18. Heliox delivery device; 19. Portable spirometer; 20. Testing equipment in a pulmonary function laboratory; 21. Pleural drainage; 22. Noninvasive monitoring, for example, pulse oximeter, capnometer, transcutaneous; 23. Bronchoscopes and light sources; 24. Hemodynamic monitoring a. pressure transducers; b. catheters, for example, arterial, pulmonary artery
    • II.B. Ensure Infection Prevention — 1. Adhering to infection prevention policies and procedures, for example, Standard Precautions, donning/doffing, isolation; 2. Adhering to disinfection policies and procedures; 3. Proper handling of biohazardous materials
    • II.C. Perform Quality Control Procedures — 1. Blood analyzers; 2. Gas analyzers; 3. Pulmonary function equipment for testing a. spirometry results; b. lung volumes; c. diffusing capacity (DLCO); 4. Mechanical ventilators; 5. Noninvasive monitors
  • III. INITIATION AND MODIFICATION OF INTERVENTIONS
    • III.A. Maintain a Patent Airway Including the Care of Artificial Airways — 1. Proper positioning of a patient; 2. Recognition of a difficult airway; 3. Establishing and managing a patient's airway a. nasopharyngeal airway; b. oropharyngeal airway; c. esophagealtracheal tubes / supraglottic airways; d. endotracheal tube; e. tracheostomy tube; f. laryngectomy tube; g. speaking valves; h. devices that assist with intubation, for example, endotracheal tube exchanger, video laryngoscopy; 4. Performing tracheostomy care; 5. Exchanging artificial airways; 6. Maintaining adequate humidification; 7. Initiating protocols to prevent ventilator-associated infections; 8. Performing extubation
    • III.B. Perform Airway Clearance and Lung Expansion Techniques — 1. Postural drainage, percussion, or vibration; 2. Suctioning, for example, nasotracheal, oropharyngeal; 3. Mechanical devices, for example, high-frequency chest wall oscillation, vibratory PEP, intrapulmonary percussive ventilation, insufflation / exsufflation device; 4. Assisted cough, for example, huff, abdominal thrust; 5. Hyperinflation therapy; 6. Inspiratory muscle training
    • III.C. Support Oxygenation and Ventilation — 1. Initiating and adjusting oxygen therapy; 2. Minimizing hypoxemia, for example, patient positioning, secretion removal; 3. Initiating and adjusting mask or nasal CPAP; 4. Initiating and adjusting mechanical ventilation settings a. continuous mechanical ventilation; b. noninvasive ventilation; c. high-frequency ventilation; d. alarms; 5. Recognizing and correcting patient-ventilator dyssynchrony; 6. Utilizing ventilator graphics; 7. Performing lung recruitment maneuvers; 8. Liberating a patient from mechanical ventilation
    • III.D. Administer Medications and Specialty Gases — 1. Aerosolized preparations a. antimicrobials; b. pulmonary vasodilators; c. bronchodilators; d. mucolytics / proteolytics; e. steroids; 2. Endotracheal instillation; 3. Specialty gases, for example, heliox, inhaled NO
    • III.E. Ensure Modifications are Made to the Respiratory Care Plan — 1. Treatment termination, for example, life-threatening adverse event; 2. Recommendations a. starting treatment based on patient response; b. treatment of pneumothorax; c. adjustment of fluid balance; d. adjustment of electrolyte therapy; e. insertion or change of artificial airway; f. liberating from mechanical ventilation; g. extubation; h. discontinuing treatment based on patient response; i. consultation from a physician specialist; 3. Recommendations for changes a. patient position; b. oxygen therapy; c. humidification; d. airway clearance; e. hyperinflation; f. mechanical ventilation; 4. Recommendations for pharmacologic interventions a. bronchodilators; b. anti-inflammatory drugs; c. mucolytics and proteolytics; d. aerosolized antibiotics; e. inhaled pulmonary vasodilators; f. cardiovascular; g. antimicrobials; h. sedatives and hypnotics; i. analgesics; j. narcotic antagonists; k. benzodiazepine antagonists; l. neuromuscular blocking agents; m. diuretics; n. surfactants; o. changes to drug, dosage, administration frequency, mode, or concentration
    • III.F. Utilize Evidence-Based Practice — 1. Classification of disease severity; 2. Recommendations for changes in a therapeutic plan when indicated; 3. Application of guidelines, for example, ARDSNet, NAEPP, GOLD
    • III.G. Provide Respiratory Care Techniques in High-Risk Situations — 1. Emergency a. cardiopulmonary emergencies excluding CPR; b. disaster management; c. medical emergency team (MET) / rapid response team; 2. Interprofessional communication; 3. Patient transport a. land / air between hospitals; b. within a hospital
    • III.H. Assist a Physician / Provider in Performing Procedures — 1. Intubation; 2. Bronchoscopy; 3. Specialized bronchoscopy, for example, EBUS, navigational bronchoscopy (ENB); 4. Thoracentesis; 5. Tracheotomy; 6. Chest tube insertion; 7. Insertion of arterial or venous catheters; 8. Moderate (conscious) sedation; 9. Cardioversion; 10. Withdrawal of life support
    • III.I. Conduct Patient and Family Education — 1. Safety and infection control; 2. Home care and related equipment; 3. Lifestyle changes, for example, smoking cessation, exercise; 4. Pulmonary rehabilitation; 5. Disease / condition management, for example, asthma, COPD, CF, tracheostomy care, ventilator dependent
Examination sources

Therapist Multiple-Choice Examination

Provider
The National Board for Respiratory Care (NBRC); administered Monday through Saturday at more than 300 assessment centers through the NBRC testing agency PSI
Format
Computer-based multiple-choice examination; each scored item is linked to a content area and cognitive level (recall, application, analysis); the TMC ends December 31, 2026 and the Respiratory Therapy Examination is used from January 1, 2027
Exam questions
160 multiple-choice items: 140 scored and 20 pretest
Time limit
3 hours
Passing score
Raw score (each item worth one point) compared with two cut scores: the low cut score earns the CRT credential; the high cut score earns the CRT credential and eligibility for the Clinical Simulation Examination for candidates eligible to earn the RRT
Exam fee
$190 new applicants; $150 repeat applicants
Examination outline
  • I. PATIENT DATA (50 of 140 scored items; Recall 15, Application 27, Analysis 8) (35.71%)
    • I.A. Evaluate Data in the Patient Record (10 of 50 section items; Recall 4, Application 6, Analysis 0) — 1. Patient history, for example, history of present illness (HPI), orders, medication reconciliation, progress notes, DNR status / advance directives, social, family, and medical history; 2. Physical examination relative to the cardiopulmonary system; 3. Lines, drains, and airways, for example, chest tube, vascular lines, artificial airway; 4. Laboratory results, for example, CBC, electrolytes, coagulation studies, sputum culture and sensitivities, cardiac biomarkers; 5. Blood gas analysis and / or hemoximetry (CO-oximetry) results; 6. Pulmonary function testing results, for example spirometry, lung volumes, DLCO; 7. 6-minute walk test results; 8. Imaging study results, for example, chest radiograph, CT scan, ultrasonography and / or echocardiography, PET scan, ventilation / perfusion scan; 9. Maternal and perinatal / neonatal history, for example, APGAR scores, gestational age, L / S ratio; 10. Sleep study results, for example, apnea-hypopnea index (AHI); 11. Trends in monitoring results: a. fluid balance; b. vital signs; c. intracranial pressure; d. ventilator liberation parameters; e. pulmonary mechanics; f. noninvasive, for example, pulse oximetry, capnography, transcutaneous; g. cardiac evaluation / monitoring results, for example, ECG, hemodynamic parameters; 12. Determination of a patient's pathophysiological state
    • I.B. Perform Clinical Assessment (10 of 50 section items; Recall 3, Application 6, Analysis 1) — 1. Interviewing a patient to assess a. level of consciousness and orientation, emotional state, and ability to cooperate; b. level of pain; c. shortness of breath, sputum production, and exercise tolerance; d. smoking history; e. environmental exposures; f. activities of daily living; g. learning needs, for example, literacy, preferred learning style, social / cultural; 2. Performing inspection to assess a. general appearance; b. characteristics of the airway, for example, patency, Mallampati classification, tracheal shift; c. cough, sputum amount and character; d. status of a neonate, for example, APGAR score, gestational age; e. skin integrity, for example, pressure ulcers, stoma site; 3. Palpating to assess a. pulse, rhythm, intensity; b. accessory muscle activity; c. asymmetrical chest movements, tactile fremitus, crepitus, tenderness, tactile rhonchi, and / or tracheal deviation; 4. Performing diagnostic chest percussion; 5. Auscultating to assess a. breath sounds; b. heart sounds and rhythm; c. blood pressure; 6. Reviewing a chest radiograph to assess a. quality of imaging, for example, patient positioning, penetration, lung inflation; b. presence and position of airways, lines, and drains; c. presence of foreign bodies; d. heart size and position; e. presence of, or change in, (i) cardiopulmonary abnormalities, for example, pneumothorax, consolidation, pleural effusion, pulmonary edema, pulmonary artery size; (ii) diaphragm, mediastinum, and / or trachea
    • I.C. Perform Procedures to Gather Clinical Information (12 of 50 section items; Recall 4, Application 7, Analysis 1) — 1. 12-lead ECG; 2. Noninvasive monitoring, for example, pulse oximetry, capnography, transcutaneous; 3. Peak flow; 4. Mechanics of spontaneous ventilation linked to tidal volume, minute volume, maximal inspiratory pressure, and vital capacity; 5. Blood gas sample collection; 6. Blood gas analysis and / or hemoximetry (CO-oximetry); 7. Oxygen titration with exercise; 8. Cardiopulmonary calculations, for example, P(A-a)O2, VD / VT, P/F, OI; 9. Hemodynamic monitoring; 10. Pulmonary compliance and airways resistance; 11. Plateau pressure; 12. Auto-PEEP determination; 13. Spontaneous breathing trial (SBT); 14. Apnea monitoring; 15. Apnea test (brain death determination); 16. Overnight pulse oximetry; 17. CPAP / NPPV titration during sleep; 18. Cuff management, for example, tracheal, laryngeal; 19. Sputum induction; 20. Cardiopulmonary stress testing; 21. 6-minute walk test; 22. Spirometry outside or inside a pulmonary function laboratory; 23. DLCO inside a pulmonary function laboratory; 24. Lung volumes inside a pulmonary function laboratory; 25. Tests of respiratory muscle strength - MIP and MEP; 26. Therapeutic bronchoscopy
    • I.D. Evaluate Procedure Results (10 of 50 section items; Recall 2, Application 4, Analysis 4) — 1. 12-lead ECG; 2. Noninvasive monitoring, for example, pulse oximetry, capnography, transcutaneous; 3. Peak flow; 4. Mechanics of spontaneous ventilation linked to tidal volume, minute volume, maximal inspiratory pressure, and vital capacity; 5. Blood gas analysis and / or hemoximetry (CO-oximetry); 6. Oxygen titration with exercise; 7. Cardiopulmonary calculations, for example, P(A-a)O2, VD / VT, P/F, OI; 8. Hemodynamic monitoring; 9. Pulmonary compliance and airways resistance; 10. Plateau pressure; 11. Auto-PEEP; 12. Spontaneous breathing trial (SBT); 13. Apnea monitoring; 14. Apnea test (brain death determination); 15. Overnight pulse oximetry; 16. CPAP / NPPV titration during sleep; 17. Cuff status, for example, laryngeal, tracheal; 18. Cardiopulmonary stress testing; 19. 6-minute walk test; 20. Spirometry outside or inside a pulmonary function laboratory; 21. DLCO inside a pulmonary function laboratory; 22. Lung volumes inside a pulmonary function laboratory; 23. Tests of respiratory muscle strength - MIP and MEP
    • I.E. Recommend Diagnostic Procedures (8 of 50 section items; Recall 2, Application 4, Analysis 2) — 1. Testing for tuberculosis; 2. Laboratory tests, for example, CBC, electrolytes, coagulation studies, sputum culture and sensitivities, cardiac biomarkers; 3. Imaging studies; 4. Bronchoscopy a. diagnostic; b. therapeutic; 5. Bronchoalveolar lavage (BAL); 6. Pulmonary function testing; 7. Noninvasive monitoring, for example, pulse oximetry, capnography, transcutaneous; 8. Blood gas and/or hemoximetry (CO-oximetry); 9. ECG; 10. Exhaled gas analysis, for example, CO2, CO, FENO; 11. Hemodynamic monitoring; 12. Sleep studies; 13. Thoracentesis
  • II. TROUBLESHOOTING AND QUALITY CONTROL OF DEVICES, AND INFECTION CONTROL (20 of 140 scored items; Recall 8, Application 9, Analysis 3) (14.29%)
    • II.A. Assemble / Troubleshoot Devices (15 of 20 section items; Recall 4, Application 8, Analysis 3) — 1. Medical gas delivery interfaces, for example, mask, cannula, heated high-flow nasal cannula; 2. Long-term oxygen therapy; 3. Medical gas delivery, metering, and /or clinical analyzing devices, for example, concentrator, liquid system, flowmeter, regulator, gas cylinder, blender, air compressor, gas analyzers; 4. CPAP / NPPV with patient interfaces; 5. Humidifiers; 6. Nebulizers; 7. Metered-dose inhalers, spacers, and valved holding chambers; 8. Dry-powder inhalers (DPI); 9. Resuscitation equipment, for example, self-inflating resuscitator, flow-inflating resuscitator, AED; 10. Mechanical ventilators; 11. Intubation equipment; 12. Artificial airways; 13. Suctioning equipment, for example, regulator, canister, tubing, catheter; 14. Blood analyzers, for example, hemoximetry (CO-oximetry), point-of-care, blood gas; 15. Patient breathing circuits; 16. Hyperinflation devices; 17. Secretion clearance devices; 18. Heliox delivery device; 19. Portable spirometer; 20. Testing equipment in a pulmonary function laboratory; 21. Pleural drainage; 22. Noninvasive monitoring, for example, pulse oximeter, capnometer, transcutaneous; 23. Bronchoscopes and light sources; 24. Hemodynamic monitoring a. pressure transducers; b. catheters, for example, arterial, pulmonary artery
    • II.B. Ensure Infection Prevention (2 of 20 section items; Recall 2, Application 0, Analysis 0) — 1. Adhering to infection prevention policies and procedures, for example, Standard Precautions, donning/doffing, isolation; 2. Adhering to disinfection policies and procedures; 3. Proper handling of biohazardous materials
    • II.C. Perform Quality Control Procedures (3 of 20 section items; Recall 2, Application 1, Analysis 0) — 1. Blood analyzers; 2. Gas analyzers; 3. Pulmonary function equipment for testing a. spirometry results; b. lung volumes; c. diffusing capacity (DLCO); 4. Mechanical ventilators; 5. Noninvasive monitors
  • III. INITIATION AND MODIFICATION OF INTERVENTIONS (70 of 140 scored items; Recall 10, Application 30, Analysis 30) (50%)
    • III.A. Maintain a Patent Airway Including the Care of Artificial Airways (10 of 70 section items; Recall 3, Application 4, Analysis 3) — 1. Proper positioning of a patient; 2. Recognition of a difficult airway; 3. Establishing and managing a patient's airway a. nasopharyngeal airway; b. oropharyngeal airway; c. esophagealtracheal tubes / supraglottic airways; d. endotracheal tube; e. tracheostomy tube; f. laryngectomy tube; g. speaking valves; h. devices that assist with intubation, for example, endotracheal tube exchanger, video laryngoscopy; 4. Performing tracheostomy care; 5. Exchanging artificial airways; 6. Maintaining adequate humidification; 7. Initiating protocols to prevent ventilator-associated infections; 8. Performing extubation
    • III.B. Perform Airway Clearance and Lung Expansion Techniques (5 of 70 section items; Recall 2, Application 2, Analysis 1) — 1. Postural drainage, percussion, or vibration; 2. Suctioning, for example, nasotracheal, oropharyngeal; 3. Mechanical devices, for example, high-frequency chest wall oscillation, vibratory PEP, intrapulmonary percussive ventilation, insufflation / exsufflation; 4. Assisted cough, for example, huff, abdominal thrust; 5. Hyperinflation therapy; 6. Inspiratory muscle training
    • III.C. Support Oxygenation and Ventilation (15 of 70 section items; Recall 1, Application 5, Analysis 9) — 1. Initiating and adjusting oxygen therapy; 2. Minimizing hypoxemia, for example, patient positioning, secretion removal; 3. Initiating and adjusting mask or nasal CPAP; 4. Initiating and adjusting mechanical ventilation settings a. continuous mechanical ventilation; b. noninvasive ventilation; c. high-frequency ventilation; d. alarms; 5. Recognizing and correcting patient-ventilator dyssynchrony; 6. Utilizing ventilator graphics; 7. Performing lung recruitment maneuvers; 8. Liberating a patient from mechanical ventilation
    • III.D. Administer Medications and Specialty Gases (4 of 70 section items; Recall 1, Application 3, Analysis 0) — 1. Aerosolized preparations a. antimicrobials; b. pulmonary vasodilators; c. bronchodilators; d. mucolytics / proteolytics; e. steroids; 2. Endotracheal instillation; 3. Specialty gases, for example, heliox, inhaled NO
    • III.E. Ensure Modifications are Made to the Respiratory Care Plan (18 of 70 section items; Recall 1, Application 7, Analysis 10) — 1. Treatment termination, for example, life-threatening adverse event; 2. Recommendations a. starting treatment based on patient response; b. treatment of pneumothorax; c. adjustment of fluid balance; d. adjustment of electrolyte therapy; e. insertion or change of artificial airway; f. liberating from mechanical ventilation; g. extubation; h. discontinuing treatment based on patient response; i. consultation from a physician specialist; 3. Recommendations for changes a. patient position; b. oxygen therapy; c. humidification; d. airway clearance; e. hyperinflation; f. mechanical ventilation; 4. Recommendations for pharmacologic interventions a. bronchodilators; b. anti-inflammatory drugs; c. mucolytics and proteolytics; d. aerosolized antibiotics; e. inhaled pulmonary vasodilators; f. cardiovascular; g. antimicrobials; h. sedatives and hypnotics; i. analgesics; j. narcotic antagonists; k. benzodiazepine antagonists; l. neuromuscular blocking agents; m. diuretics; n. surfactants; o. changes to drug, dosage, administration frequency, mode, or concentration
    • III.F. Utilize Evidence-Based Practice (6 of 70 section items; Recall 0, Application 2, Analysis 4) — 1. Classification of disease severity; 2. Recommendations for changes in a therapeutic plan when indicated; 3. Application of guidelines, for example, ARDSNet, NAEPP, GOLD
    • III.G. Provide Respiratory Care in High-Risk Situations (5 of 70 section items; Recall 0, Application 2, Analysis 3) — 1. Emergency a. cardiopulmonary emergencies, excluding CPR; b. disaster management; c. medical emergency team (MET) / rapid response team; 2. Interprofessional communication; 3. Patient transport a. land / air between hospitals; b. within a hospital
    • III.H. Assist a Physician / Provider in Performing Procedures (4 of 70 section items; Recall 1, Application 3, Analysis 0) — 1. Intubation; 2. Bronchoscopy; 3. Specialized bronchoscopy, for example, endobronchial ultrasound (EBUS), navigational bronchoscopy (ENB); 4. Thoracentesis; 5. Tracheotomy; 6. Chest tube insertion; 7. Insertion of arterial or venous catheters; 8. Moderate (conscious) sedation; 9. Cardioversion; 10. Withdrawal of life support
    • III.I. Conduct Patient and Family Education (3 of 70 section items; Recall 1, Application 2, Analysis 0) — 1. Safety and infection control; 2. Home care and related equipment; 3. Lifestyle changes, for example, smoking cessation, exercise; 4. Pulmonary rehabilitation; 5. Disease / condition management, for example, asthma, COPD, CF, tracheostomy care, ventilator dependent
Examination sources