Pursuant to
2017 Wisconsin Act 278, beginning August 1, 2018, prior to submitting an application for a credential, an individual may apply to the Department for a determination of whether the individual would be disqualified from obtaining the credential due to his or her conviction record. To apply for a predetermination, please fill out
Form #3085 and submit all required documentation specified on the form. Pursuant to
Wis. Stat. §
111.335(4)(e), the offenses or kinds of offenses that may result in a refusal, bar, or termination of licensure are published under Additional Resources on the left side of this page.
License Information
Per
Wis. Stat. § 440.08 (2), the required renewal date for the Respiratory Care Practitioner credential is 06/30/even years. Should you receive your initial credential in the months leading up to this date, you are still required to renew your license by the statutorily defined date.
An applicant for permanent certification may apply for a temporary certificate at the same time but must pay both fees and meet the following conditions:
-
New Graduate Temporary Certificate
- Be a graduate of an approved school and be scheduled to take the national certification examination or be awaiting examination results.
- Passed the Wisconsin statute and rules examination and is not required to take an oral examination.
- Practice during the period of the temporary certificate shall be in consultation, at least monthly, with a respiratory care practitioner or a physician who shall at least once a month endorse the activities of the person holding the temporary certificate.
-
Individual Licensed in Another State Temporary Certificate
- Be a graduate of an approved school and passed the national certification examination.
- Passed the Wisconsin statute and rules examination and is not required to take an oral examination.
- Pass required examinations.
- Board review of application (if applicable) for determination to grant credential.
Fee Reduction
Pursuant to 2017 Wisconsin Act 319, beginning August 1, 2018, an applicant for an initial credential may apply for a reduction of the initial credential fee that is equal to 10% of the initial fee. Qualification is based on the federal adjusted gross income being at or below 180% of the federal poverty guideline prescribed for the applicant's family household size by the United States Department of Health and Human Services. To determine eligibility please visit the United States Department of Health and Human Services website at https://aspe.hhs.gov/poverty-guidelines, prior to submitting Form 3217.
Per Wisconsin State Statutes 440.08 (2), the required renewal date for the Certified Public Accountant credential is December 14th of each odd-numbered year. Should you receive your initial credential in the months leading up to this date, you are still required to renew your license by the statutorily defined date.
Pre-Credential Education Information
Graduate from a school with a course of instruction in respiratory care approved by the American Medical Association commission on accreditation of Allied Health Education programs.
Certification by
National Board for Respiratory Care.
Application for Licensure
| Form | Description |
|---|
|
1790
| Application For Certification to Practice Respiratory Care |
| 3217 | Application for Fee Reduction (This form must accompany the application for the credential) |
|
1792 | Respiratory Care Practitioner Certificate of Professional Education |
| 1794 | Practice of Respiratory Care (This form is not required for new graduates) |
|
2871 | Temporary Certificate Request For Certified Respiratory Care Practitioner (For individuals licensed in another state |
| 1815 | Temporary Certificate Request for New Graduate Respiratory Care Practitioner (For new graduates) |
|
2829
| Malpractice Suits or Claims Form (If applicable) |
|
3085 | Application for Predetermination |
|
2252
| Convictions and Pending Charges |
|
3071 | Fax Payment Form |