Washington Administrative Code

(1) An applicant for a reflexologist certification must be eighteen years of age or older.(2) An applicant for a reflexologist certification must submit to the department:(a) A completed application on forms provided by the secretary;(b) Fees as required in WAC 246-831-990;(c) Ev…

All application documents, as required in WAC 246-831-010, submitted in a foreign language must be accompanied by an accurate translation of those documents into English. Translated documents must bear a notarized affidavit certifying that the translator is competent in both the …

(1) A certified reflexologist shall conspicuously display his or her credential in his or her principal place of business.(2) If the certified reflexologist does not have a principal place of business, or conducts business in any other location, he or she shall have a copy of his…

Training in reflexology must include a minimum of two hundred hours of instruction. One hour of instruction is defined as fifty minutes of actual instructional time. The two hundred hours shall consist of the following:(1) Thirty hours of reflexology theory, history, zones, refle…

(1) All applicants must take and pass the American Reflexology Certification Board (ARCB) written examination or another examination approved by the secretary.(2) The secretary will accept the passing score established by the testing company for examinations approved by the secre…

An applicant may obtain a waiver of the examination for certification as a reflexologist.(1) The applicant must apply for certification between July 1, 2013 and July 1, 2014.(2) In addition to the requirements in RCW 18.108.131, the applicant must provide to the department:(a) A …

The secretary may issue a person credentialed as a reflexologist in another state or territory of the United States a reflexology certification. The applicant must provide to the department:(1) Evidence of meeting substantially equivalent education requirements as defined in WAC …

(1) The definitions in this subsection apply throughout this section unless the context clearly states otherwise.(a) "Cleaning" means the removal of all visible dust, soil, and other foreign material, usually done using water with soaps, detergents, or enzymatic products along wi…

All schools, programs, and apprenticeship programs must have adequate facilities and equipment available for students learning reflexology. All facility equipment must be maintained in accordance with local rules and ordinances in addition to those imposed by this chapter. Instru…

The secretary will consider for approval any school, program, or apprenticeship program which meets the requirements as outlined in this chapter.(1) The authorized representative of the school or program, or the administrator of the apprenticeship program shall request approval o…

(1) Credentials must be renewed every year on the practitioner's birthday as provided in chapter 246-12 WAC, Part 2.(2) The following nonrefundable fees will be charged for a certified reflexologist credential:Title of FeeFeeInitial credential$50.00Renewal40.00Late renewal penalt…

The following definitions apply throughout this chapter unless the context clearly indicates otherwise:(1) "Active practice" means 20 hours per month in prenatal and postpartum clinical care, or minimum of six births annually as the primary midwife;(2) "Administer" means to dispe…

The secretary accepts midwifery education programs that meet the Midwifery Education Accreditation Council (MEAC) standards and competencies established in 2014 as accredited and approved courses of instruction.[Statutory Authority: RCW 18.50.115, 18.50.135, 43.70.613, 2022 c 289…

Candidates for the state licensing examination shall meet the following conditions, unless applying under WAC 246-834-066 Certified professional midwife (CPM) licensure requirements:(1) Midwifery training shall be at least three academic years, and shall consist of both didactic …

(1) An applicant for midwifery licensure shall successfully pass:(a) The midwifery examination offered by the North American Registry of Midwives (NARM);(b) The Washington state licensure examination with a minimum passing score of 80; and(c) The midwifery jurisprudence examinati…

(1) An applicant who has failed the NARM examination or the Washington state licensing examination, or both, shall retake and pass the examination(s) which he or she failed.(2) The applicant who fails the Washington state licensing examination may sit for the reexamination if the…

(1) An applicant for a midwife license shall submit to the department the following:(a) Initial application on forms provided by the department.(b) Fees required in WAC 246-834-990.(c) Proof of high school graduation, or its equivalent.(d) Proof of at least three years of midwife…

This section applies to applicants for an initial license as a licensed midwife, or reinstatement of a midwifery license, who have not been in the active practice of midwifery prior to initial or reinstatement license application.(1) Any applicant who has not been engaged in the …

An applicant for a midwife license who graduated from a foreign educational institution on midwifery outside of any U.S. jurisdiction may sit for the licensing examination provided the applicant completes all requirements in this section:(1) Complete application requirements for …

An applicant who holds a current North American Registry of Midwives (NARM) certified professional midwife (CPM) certification may apply for a Washington state midwife license by completing all requirements in this section.(1) To be eligible for a midwife license an applicant hol…

This section defines the role of a preceptor as used in WAC 246-834-066. A certified professional midwife (CPM) applicant for licensure as a midwife may use more than one preceptor to meet the requirements for licensure under WAC 246-834-066.(1) A preceptor for clinical requireme…

(1) The department may issue a trainee permit to a certified professional midwife (CPM) who has submitted an initial application to the department accompanied by a nonrefundable fee as specified in WAC 246-834-990.(2) The CPM trainee permit authorizes the CPM to complete the lice…

(1) A student midwife permit may be issued to any individual who has:(a) Successfully completed an accredited midwifery program as specified in WAC 246-834-020, or is foreign trained as specified in WAC 246-834-065(1);(b) Obtained a minimum period of midwifery training of at leas…

(1) A licensed midwife seeking a limited prescriptive license extension shall:(a) Submit evidence of completion of 15 additional obstetrical pharmacology didactic training hours. The additional hours must include the prescription classifications listed in WAC 246-834-250(4) and p…

A licensed midwife shall have a procedure, policy or guideline for the use of each legend drug and device. A midwife may not administer or prescribe a legend drug or use a legend device for which they are not qualified by education, training, and experience.(1) A licensed midwife…

The customary scope of care of a newborn up to two weeks of age by a licensed midwife includes, but is not limited to, clinical assessment, treatment, education, support and referral as described in this section. Newborn care shall not go beyond the scope of the midwife's educati…

A licensed midwife must renew their license every year on the individual's birthday. To renew a license, a licensed midwife shall comply with the requirements in:(1) RCW 18.50.102 License renewal;(2) RCW 18.50.108 Written plan for consultation, emergency transfer, and transport;(…

(1) A licensed midwife shall complete 30 hours of continuing education (CE) every three years and must comply with WAC 246-12-170 through 246-12-240. CE course work must contribute to the professional knowledge and development of the licensed midwife.(a) A minimum of 25 hours mus…

(1) As a condition of renewing a license, a licensed midwife shall:(a) Participate in a Washington state coordinated quality improvement program peer review process that complies with the requirements in RCW 43.70.510.(b) Attest every two years that the midwife has completed peer…

(1) As a condition of renewing a license, a licensed midwife shall report data on all courses of care for every gestational parent and newborn under the midwife's care to a national or state research organization approved by the department. If the gestational parent declines to p…

A midwife licensed under this chapter may reinstate an expired license or license extension.(1) If a midwife's license has been expired for less than three years, the practitioner shall meet the requirements of WAC 246-12-040.(2) If a midwife's license has expired and the practit…

(1) A licensed midwife may obtain an inactive license by meeting the requirements of WAC 246-12-090.(2) An inactive license must be renewed every year on the midwife's birthday according to WAC 246-12-100 and by paying the fee required under WAC 246-834-990.(3) A midwife with an …

(1) Licenses must be renewed every year on the practitioner's birthday as provided in chapter 246-12 WAC, Part 2.(2) The following fees are nonrefundable:Title of FeeFeeInitial application$525.00State examination (initial/retake)155.00Renewal525.00Late renewal penalty265.00Duplic…

(1) An individual who meets the certification requirements of this chapter and chapter 18.47 RCW is considered a "state-certified birth doula."(2) Nothing in this chapter prohibits a person from practicing as a birth doula without obtaining a certification under this chapter and …

The definitions in this section apply throughout this chapter unless the context clearly requires otherwise.(1) "Birth doula" or "doula" mean a state-certified birth doula under this chapter.(2) "Culturally congruent care" means respecting and upholding a client's cultural practi…

To qualify for certification, an individual shall:(1) Successfully complete culturally congruent ancestral practices, training, and education as required in WAC 246-835-025.(2) In addition to subsection (1) of this section an individual shall also successfully complete:(a) An app…

(1) The secretary accepts any birth doula training program, or courses that collectively introduce students to the key principles of the following topics:(a) Role of a birth doula: History of birth work, scope of work, individual practice and skill set, when and how to refer out;…

This section applies to applicants that did not attend a traditional birth doula training program or course. To qualify for certification as a birth doula by completing the ancestral pathway competencies, the applicant shall complete birth doula ancestral training that is substan…

(1) To apply for a birth doula certification, an applicant shall demonstrate knowledge of culturally congruent ancestral practices, training, and education that upholds culturally congruent care as defined in WAC 246-835-010(2).(2) Culturally congruent ancestral training or exper…

An applicant for a birth doula certification shall submit the following to the department:(1) A completed application as provided by the department;(2) Proof of successful completion of the education requirements in WAC 246-835-015:(a) Culturally congruent ancestral practices, tr…

An initial applicant currently certified to practice as a birth doula in another state, the District of Columbia, or a territory of the United States may be certified by endorsement. An applicant shall comply with the requirements for licensure as specified in chapters 18.47 RCW …

State-certified birth doulas shall complete 10 hours of continuing education every renewal cycle in the form of continuing education and leadership development activities. The credential holder shall submit documentation upon request as required by chapter 246-12 WAC.(1) Eight ho…

(1) A birth doula must renew their certification every two years on the practitioner's birthday as provided in chapter 246-12 WAC.(2) The following nonrefundable fees will be charged:TitleFeeApplication for initial certification$190.00Certification renewal$190.00Late renewal pena…

The definitions in this section apply throughout this chapter unless the context clearly requires otherwise.(1) "Board" means the board of naturopathy.(2) "Department" means the department of health.(3) "Hospital" means any health care institution licensed under chapter 70.41 RCW…

Individuals seeking a license to practice as a naturopathic physician shall provide the following:(1) A completed application, with all required fees;(2) Official transcripts sent directly from a college of naturopathic medicine approved by the board, demonstrating that the appli…

(1) Applicants for licensure as a naturopathic physician must pass the Naturopathic Physicians Licensing Examination (NPLEX) administered by the North American Board of Naturopathic Examiners (NABNE). The NPLEX licensure examination consists of the following components and tests:…

(1) A licensed naturopathic physician shall take and pass the board approved jurisprudence examination within the first full continuing education reporting period after initial licensure.(2) The jurisprudence exam will be available as a category 3 continuing education credit as o…

(1) General provisions. Each licensed naturopathic physician must complete 60 hours of continuing education related to the naturopathic scope of practice in Washington state every two years, as provided in chapter 246-12 WAC.(2)(a) A license holder's first 60 hour continuing educ…

(1) Applicants for licensure educated in a country outside the United States or its territories shall meet the following requirements for licensure.(a) Satisfactory completion of a basic naturopathic medical program in a naturopathic school or college officially approved by the c…

A license to practice as a naturopathic physician in the state of Washington may be issued without examination at the discretion of the board provided the applicant meets all of the requirements in WAC 246-836-020 except for the national examination requirement in subsection (3) …