NBRC Respiratory Therapy (RT) Exam (formerly TMC) guideEligibility, registration & costs
NBRC RT Exam Eligibility: Degrees, CoARC Programs, and the CSRT Route
Check the NBRC RT Examination's age and education requirements, verify your exact CoARC program, and resolve CSRT, legacy CRT, or missing graduation-record questions.
Short answer
NBRC requires RT Examination candidates to be at least 18 and meet an admission route: graduation with at least an associate degree from a CoARC-supported or accredited entry-into-practice respiratory therapy program, or the listed CSRT RRT credential route. Check the exact program and your graduation record, not just the college's name. Legacy CRT-to-Registry admission ends at the close of 2026, so an older eligibility record needs individual confirmation before you rely on it for the new examination.
What education and age does NBRC require?
NBRC requires Respiratory Therapy Examination candidates to be at least 18 and meet one of its admission routes. Its RT admission list specifies graduation with at least an associate degree from a CoARC-supported or accredited entry-into-practice respiratory therapy program, or the listed CSRT RRT credential route.
These requirements were checked November 3, 2026. The first RT Examination administration is January 4, 2027; check the current admission page again before applying for a future appointment, especially if you are moving from an older TMC or CRT pathway.
For the education route, check three things together:
- Graduation: the requirement is graduation, not simply enrollment or an expected completion date.
- Degree: the minimum is an associate degree.
- Program: the degree must come through the qualifying respiratory therapy program described by NBRC.
An associate degree in another subject does not, by itself, establish this route. Likewise, recognizing your college's name is not enough to verify the respiratory therapy program you attended. Start with your exact program and degree, then resolve the record that NBRC will use to evaluate your eligibility.
How do I check my program in CoARC's directory?
Use CoARC's official program directory. It can be searched by institution, state, degree, and category, and its entries include program numbers, degree or program type, accreditation status, and accreditation actions.
A useful check takes four steps:
- Find the exact institution and campus. Do not stop at the first entry with a familiar school name.
- Match the program. Identify the entry-into-profession respiratory therapy program and the degree you completed. A different program at the same institution does not establish your eligibility.
- Read the status and actions. Write down the program number and anything that needs explanation. If an entry does not clearly match your history, ask the program and NBRC how it applies to you.
- Reconcile the records. Check that the program and degree you identify are the ones your school will report for your graduation.
Treat this as a verification workflow, not a way to approve your own admission. NBRC determines examination eligibility; the directory helps you ask a precise question when a listing or school record is unclear.
Once you have identified your route, use the guide to the TMC content and replacement RT examination to orient your preparation. The full NBRC RT Exam (TMC) prep planned for launch covers four outline areas, giving you a structure for organizing your review after the eligibility check.
Does a Canadian CSRT RRT credential qualify?
NBRC's RT admission list includes the CSRT RRT credential route. That matters because the same page's abbreviated eligibility FAQ describes the CoARC education route without repeating every detail from the admission list.
If you hold the listed CSRT credential, identify that credential explicitly when you ask NBRC about admission. Ask which verification it needs for your record before assuming that the school-submission process for a CoARC graduate is the process for you.
Foreign education and the listed CSRT credential are different eligibility questions. NBRC's legacy CRT/TMC information does not treat foreign education alone as the CoARC-program route; it should not be read as erasing the separately recognized credential route on the RT page. If your education was outside the United States and you do not hold the listed CSRT credential, have NBRC assess your specific circumstances before relying on either route.
The practical next step is to name the credential you hold and the admission route you believe applies. Avoid asking only whether a foreign degree is accepted, because that leaves out the distinction NBRC's admission list makes.
What if I hold a CRT through a legacy route?
An existing CRT and eligibility for the new RT Examination are separate questions. NBRC says CRT-to-Registry admission ends at the close of 2026, as checked November 3, 2026. Do not assume that a route you qualified under years ago carries forward to the new examination.
If you hold a CRT through a legacy pathway, gather your credential history and any prior eligibility correspondence, then ask NBRC which current admission requirement you meet. Be specific about the examination you intend to take and whether you are relying on a CoARC degree, the CSRT credential route, or a previous CRT-to-Registry determination.
An old eligibility record also deserves attention if you have been inactive. NBRC's legacy TMC record-retention information warns that inactive eligibility records after a year can require reapplication under current requirements. That is a reason to request an individual determination, not a reason to assume your record is either valid or permanently lost.
For the distinction between eligibility and what a score earns, read the TMC cut-score and CRT/RRT guide. Settle which route is open to you before choosing preparation based on an old exam name.
What if my graduation record is missing?
The NBRC Candidate Handbook, revision September 3, 2026, checked November 3, 2026, describes graduates receiving an account email after their school submits their information. If your graduation information is missing, the handbook directs you back to the school.
Ask your program to confirm that it submitted your graduation record and to help resolve any discrepancy. A useful request identifies the exact program, degree, and graduation information you are trying to reconcile. Do not treat the absence of an account email as proof that your education fails the admission requirements; it is a record issue to investigate first.
Separate that administrative task from your study task. You can use the 20 free NBRC RT Exam practice questions to start identifying material to review, but a practice score does not establish eligibility. Nor does purchasing preparation replace school verification or NBRC's admission decision.
For additional review after your route is clear, the full NBRC RT Exam (TMC) prep planned for launch includes 500 flashcards. Keep your study notes and your unresolved record questions separate so neither gets overlooked.
What should I check before applying?
Use this final checklist to turn a general belief that you qualify into a specific, documented route:
- Confirm that you meet the minimum age of 18.
- Identify the admission route you are using.
- For the education route, match your exact program, degree, and graduation information to the CoARC listing and the school's record.
- For the CSRT route, confirm with NBRC what credential verification your case needs.
- Resolve any old CRT-to-Registry determination or inactive eligibility record directly with NBRC.
- Recheck the current RT admission requirements before applying, particularly when your planned examination date falls after the transition.
Once those points are settled, use the free NBRC RT Exam study plan to organize preparation around your available study time. Keep any unresolved admission issue on a separate follow-up list; extra study cannot correct an incomplete graduation record.
When you want a larger practice bank, the full NBRC RT Exam (TMC) prep planned for launch includes 1,100 questions. Your next administrative step is to resolve the one item on the checklist that you cannot yet verify, then proceed using NBRC's decision for your own record.
Trust the source
Official sources
Exam policies can change. Use these primary sources for the most current details.
- Respiratory Therapy (RT) ExaminationNational Board for Respiratory Care (NBRC)↗
- Find an Accredited ProgramCommission on Accreditation for Respiratory Care (CoARC)↗
- NBRC Candidate HandbookNational Board for Respiratory Care (NBRC)↗
- Certified Respiratory Therapist (CRT)National Board for Respiratory Care (NBRC)↗