Certified Respiratory Therapist (CRT) in Alabama
This guide details the steps to become a Certified Respiratory Therapist (CRT) in Alabama, focusing on prerequisites, training, exams, and certification processes. The path typically takes 8-12 weeks and costs range from $800 to $2,500. Key steps include verifying prerequisites, completing state-approved training, passing the CRT exam, and obtaining state certification.
Certified Respiratory Therapists (CRTs) in Alabama find themselves in a promising career position with a median annual salary of $61,340. The state aligns with the national projection of a 12.1% growth in the respiratory therapy field by 2034, indicative of strong job security and increasing demand. This growth is fueled by an aging population, heightened chronic respiratory conditions, and advancing healthcare technologies, making the role of a CRT not only financially rewarding but also critical in patient care management.
Alabama offers a unique environment for CRTs due to specific state regulations and a distinct healthcare infrastructure. The state mandates licensure for respiratory therapists, which ensures a standard of practice and knowledge. Alabama's major healthcare providers, including hospitals and specialized respiratory clinics, are significant employers in the region. These institutions often offer continuous professional development opportunities which are beneficial for career progression. Additionally, the geographic and demographic diversity of Alabama affects respiratory care needs, especially in rural versus urban settings, influencing employment strategies and services required.
This guide provides a detailed roadmap for becoming a Certified Respiratory Therapist in Alabama. It covers the licensing process, detailing the necessary educational requirements, examinations, and the application procedure as dictated by state health boards. Prospective CRTs will also find information on salary expectations, which, while varying by region and experience, start at a competitive rate reflecting the specialized skills of the profession. Insights into the job market will help readers understand where opportunities are most prevalent, and what potential career paths they can pursue post-certification. This guide aims to equip readers with all the necessary information to make informed decisions about pursuing a career as a CRT in Alabama.
Licensing Authority
Alabama State Board of Respiratory Therapist
In Alabama, to become a Licensed Respiratory Therapist, one must be at least 18 years old, have a high school diploma or equivalent, and fulfill specific credentialing or examination requirements. The licensing process is managed by the Alabama State Board of Respiratory Therapist.
Official Resources
Alabama Requirements
Training Requirements
- Education
- High school graduate or equivalent
- Total Training Hours
- Not specified hours
- Classroom Hours
- Not specified hours
- Clinical Hours
- Not specified hours
- Minimum Age
- 18 years old
Additional Requirements
- Background check (State and federal) with fingerprinting
- Credential as a registered or certified respiratory therapist, or
- Temporary license with CRT or RRT exam passed within one year, or
- Valid RRT license from another state, or
- Special training approved by the board, or
- Employment in respiratory therapy under physician supervision at the time of regulation adoption
Certification Exam
- Exam
- Certified Respiratory Therapist (CRT) exam
- Components
- Written, Skills demonstration
- Fee
- Not specified
How to Become a Certified Respiratory Therapist in Alabama
tuition $500-$2000, exam fee $200, background check $50, application fee $100, textbooks/supplies $50, scrubs $100
Fastest Path
8 weeks
Typical Timeline
12 weeks
Estimated Cost
$800–$2500
Verify You Meet Alabama's Prerequisites
Begin by checking if you meet the basic requirements to become a CRT in Alabama. These include being at least 18 years old, having a high school diploma or GED, and being in good physical health. Visit the Alabama Board of Respiratory Therapy's official website to download the checklist for prerequisites and ensure you meet all the health, age, and educational requirements. This step is crucial as it determines your eligibility to enroll in a training program and sit for the CRT exam.
Tip
Order your high school transcript online through Parchment.com ($15) to avoid a 2-week mail delay from your school's registrar office.
Complete Background Check and Health Screenings
You must pass a background check and complete specific health screenings to proceed. These include a tuberculosis (TB) test and possibly a drug screening. For the background check, visit an approved LiveScan service provider to have your fingerprints taken and submitted for both state and FBI review. This process typically takes 2-3 weeks for results to be processed. Ensure you have no disqualifying criminal offenses, as these could prevent certification.
Tip
Schedule your fingerprinting appointment early in the process to avoid delays.
Research and Choose an Approved Training Program
Select a state-approved respiratory therapy training program. Attending a non-approved program will render you ineligible to sit for the CRT exam. Visit the Commission on Accreditation for Respiratory Care (CoARC) website to find an accredited program in Alabama. These programs typically include both classroom and clinical training components, though specific hour requirements are not mandated by the state.
Tip
Check the CoARC pass rates for programs to gauge the quality of education and exam preparation they provide.
Enroll in and Complete Training
Once you have chosen an approved program, enroll and complete the required training. This includes both classroom instruction and clinical practice. Ensure you maintain a record of all coursework and clinical hours, as this will be necessary for your certification application. The duration of the training varies, but full-time students can typically complete it within 8 to 12 weeks.
Tip
Keep a detailed log of your clinical hours as proof of completion.
Prepare for the Competency Exam
Start preparing for the National Board for Respiratory Care (NBRC) Certified Respiratory Therapist (CRT) exam. This exam tests knowledge and skills in respiratory care. It consists of 160 multiple-choice questions and must be completed within 3 hours. A passing score is typically 70% or above. Utilize study guides and practice exams available on the NBRC website to adequately prepare.
Tip
Schedule regular study sessions and take several practice exams to track your progress.
Register for and Schedule the Exam
Once you are prepared, register for the CRT exam through the NBRC website. You will need to pay the exam fee and choose a testing center and date. Testing centers are available throughout Alabama, and you can select the most convenient location. After registration, you will receive confirmation details and instructions for the exam day.
Tip
Choose an exam date that gives you ample time for preparation but is soon enough to keep the information fresh.
Take and Pass the Exam
On the day of the exam, arrive at the testing center early with two forms of ID. The CRT exam is computer-based and lasts 3 hours. If you fail the exam, you can reschedule after 60 days. Passing the exam is a critical step, as it qualifies you for state certification. After passing, you will receive a score report and a pass notification.
Tip
Ensure to have a good rest the night before and arrive early to avoid any last-minute stress.
Apply for State Certification/Registry
After passing the exam, apply for your CRT certification through the Alabama Board of Respiratory Therapy. Complete the application form, attach your exam score report, and pay the application fee. Processing typically takes 2-4 weeks. Once approved, your certification will be posted on the Alabama State Respiratory Therapy Board's online registry.
Tip
Double-check your application for any errors to avoid processing delays.
Receive Your Certification and Verify on State Registry
Once your application is processed and approved, you will receive your official CRT certification. Verify your status on the Alabama Board of Respiratory Therapy's online registry to ensure your credentials are correctly listed. This verification is crucial as employers will check this registry to confirm your certification status.
Tip
Regularly check the registry until your certification appears to ensure there are no errors in your listing.
Find Your First Job
With your certification in hand, you can now start your job search. Utilize job search engines like Indeed or LinkedIn, and check hospital and clinic websites for openings in Alabama. Networking with professionals in the field during your training might also lead to job opportunities. Prepare a professional resume highlighting your CRT certification, training, and any clinical experience.
Tip
Attend job fairs and industry conferences to network with healthcare professionals and learn about job openings.
Common Mistakes to Avoid
- •Attending a training program not on the Alabama Board of Nursing approved list. You will complete the program but be unable to sit for the state competency exam, wasting both your time and tuition money.
What to Expect on Exam Day
Certified Respiratory Therapist (CRT) Examination administered by National Board for Respiratory Care (NBRC)
Written Test
Questions: 160
Time Limit: Three hours
Format: Multiple choice
Passing Score: Scaled score of at least 75
- • Patient Data Evaluation and Recommendations: 20%
- • Troubleshooting and Quality Control of Equipment, and Infection Control: 19%
- • Initiation and Modification of Interventions: 61%
Skills Test
Skills Tested: None
Time Per Skill: None
The CRT certification does not include a skills test component.
What to Bring
- ✓ Government-issued photo ID (e.g., driver's license, passport)
- ✓ NBRC Confirmation Notice
- ✓ Simple calculator (if preferred, though a calculator on the computer screen is provided)
Do Not Bring
- ✗ Personal items such as bags, watches, phones
- ✗ Food or drink
- ✗ Notes or books
Day-of Timeline
Arrive 30 minutes early. Check-in takes approximately 15 minutes. Written test is three hours.
Getting Your Results
Results are provided immediately after exam completion on screen and via printout. Official results are mailed within two weeks.
If You Don't Pass
If you fail, you can retake the exam after 60 days. The cost of a retake is the same as the initial exam fee. There is no limit to the number of retakes allowed in Alabama.
Exam Strategies
- 1. Focus primarily on the major topic area of 'Initiation and Modification of Interventions' as it constitutes over half of the exam.
- 2. During the exam, use the provided scratch paper to note down complex thoughts or calculations.
- 3. Manage time efficiently, aiming to spend no more than one minute per question on the first pass, marking more complex questions for review.
- 4. Read each question carefully, especially the ones that include negatives or qualifiers such as 'except' or 'not'.
Document Checklist
Every document you need from start to finish
1Before Training
High School Diploma or GED
High school or GED issuing authority · Varies · Varies
Required for enrollment in respiratory therapy programs
Immunization Records
Personal physician or health department · Varies · 1-2 weeks
Must include up-to-date vaccinations, including MMR, Varicella, Hepatitis B, and annual flu shots
Tuberculosis Test Results
Healthcare provider · Varies · 1-2 days
Required for clinical rotations; must be recent (within the past year)
Criminal Background Check
Third-party service or local police department · Approximately $15-$50 · 1-2 weeks
Required by most respiratory therapy programs for clinical placement
Basic Life Support (BLS) Certification
American Heart Association or Red Cross · Approximately $85 · 1 day
Ensure it includes CPR; required for clinical rotations
2During Training
Proof of Enrollment
Respiratory therapy program office · Immediate
Needed for various applications and permissions during training
Clinical Rotation Assignments
Respiratory therapy program coordinator · Varies
Document detailing clinical placement locations and schedules
Liability Insurance
Insurance provider recommended by the training program · Varies · 1-2 weeks
Required for participation in clinical rotations
Academic Transcripts
Registrar of the educational institution · Approximately $5-$10 per copy · 1-2 weeks
May be required for internships or special program applications
3For the Exam
Application for CRT Examination
National Board for Respiratory Care (NBRC) website · Approximately $190
Must be completed and approved before scheduling the exam
Photo Identification
State DMV or other government agency · Varies
Required for identity verification on the day of the exam
Authorization to Test Letter
Received from NBRC after application approval
Required to schedule your exam date; check email
Exam Confirmation Notice
Email confirmation from testing center
Print and bring to the exam center on the scheduled date
4For Certification
CRT Credential
Issued by NBRC post successful exam completion · Included in exam fee
Official certification document, verify personal details are correct
Alabama State License Application
Alabama Board of Respiratory Therapy website · Approximately $175
Must be submitted along with proof of CRT credential to practice in Alabama
Proof of Continuing Education
From continuing education providers · Varies
Required for license renewal, specifics depend on state requirements
License Renewal Fee
Alabama Board of Respiratory Therapy · Varies annually
Payable to the Alabama Board of Respiratory Therapy during renewal cycles
After You're Certified: What's Next
Immediately after passing your CRT exam, verify your name on the National Board for Respiratory Care (NBRC) registry. Apply for your official CRT certificate through the Alabama Board of Respiratory Therapy (ABRT) website. Ensure all your credentials are in order, including your National Provider Identifier (NPI) if needed.
Finding Your First Job
Where to Look
- • Indeed.com, Monster.com, and the American Association for Respiratory Care (AARC) job board are good starting points. Networking with local hospitals and attending job fairs in Alabama can also be beneficial.
Best Employers for New Grads
- • Hospitals are the primary employers, offering structured environments and opportunities for shifts during all hours. Long-term care facilities and home health agencies also hire CRTs but may offer fewer opportunities for advanced practice.
Resume Tip: Highlight your CRT certification, clinical rotations, and any relevant skills such as patient assessment and emergency care. Include soft skills like communication and teamwork, crucial in healthcare settings.
Interview Tip: Describe a time you handled a stressful situation.Explain how you would manage a patient in respiratory distress.Discuss your experience with respiratory equipment.Share your approach to patient care and teamwork.
Expected First-Year Salary
In Alabama, the starting salary for a Certified Respiratory Therapist ranges from $45,000 to $55,000 annually, depending on the employer and location within the state.
Career Advancement Path
Registered Respiratory Therapist (RRT)
Passing the RRT examination after meeting clinical experience requirements.
Challenges to Prepare For
- • Adjusting to shift work and the emotional strain of patient care can be challenging. Effective time management and seeking support from more experienced colleagues can help manage these issues.
Certified Respiratory Therapist Salary in Alabama
In Alabama, Certified Respiratory Therapists earn a median salary of $61,340 annually, which is considerably lower than the national median. Hourly, this equates to $29.49.
Entry Level
$50,000
0-1 years experience
Median Salary
$61,340
$29.49/hr · Bureau of Labor Statistics
Experienced
$72,000
5+ years experience
Compared to National Median
$77,960 national · -21.3% in Alabama
Salary by Metro Area
Highest in the state
Slightly below state median
Close to entry-level wages
Salary by Employer Type
The lower salaries in Alabama may be somewhat offset by the state's generally lower cost of living, particularly in housing and essential services.
Benefits & Compensation
Typical benefits include health insurance, retirement plans, paid leave, and continuing education opportunities.
Salary Growth Outlook
Modest growth expected, influenced by healthcare demand and regional economic factors.
Salary Negotiation Tips
- •Research average salaries by employer type in Alabama
- •Highlight specialized skills or certifications
Job Market in Alabama
In Alabama, the job market for Certified Respiratory Therapists (CRT) is influenced by the state's aging population and increasing healthcare needs. While the national growth rate for CRTs is projected at 12.1% from 2024 to 2034, Alabama's growth is expected to align closely with this trend. Demand is further driven by the prevalence of respiratory issues linked to the state's high smoking rates and industrial pollution.
Top Hiring Areas
Major medical centers and research facilities
Growing healthcare sector
Top Hiring Industries
Best time to apply: Early spring and late fall, coinciding with budget cycles of major healthcare providers
Opportunities
- Expansion of telehealth
- Increasing specialization in pediatric and geriatric respiratory care
Challenges
- Limited educational programs for CRTs in rural areas
- Competition with neighboring states with higher wages
Training Programs in Alabama
Alabama offers several Certified Respiratory Therapist (CRT) training programs, primarily through community colleges and vocational schools.
Program Types Comparison
| Type | Duration | Cost | Format | Pros / Cons |
|---|---|---|---|---|
| Community College | 2 years (Associate degree) | $4,000 to $10,000 per year | In-person/Hybrid |
|
| Vocational/Trade School | 18 to 24 months | $5,000 to $15,000 total | In-person/Hybrid |
|
| Employer-Sponsored | Varies | Free/Paid training | On-the-job |
|
Top Programs
Hanceville, Alabama
High exam pass rates and extensive clinical training
Opelika, Alabama
Affordable tuition and strong local hospital partnerships
Online & Hybrid Options
Some programs offer hybrid formats combining online coursework with in-person clinical training.
How to Choose a Program
- •Verify the program's accreditation status to ensure eligibility for certification exams.
Financial Aid & Free Training
Get free Certified Respiratory Therapist program info for Alabama
Renewal Requirements
Renewal Period
Every 2 years
Renewal Fee
Not specified
CE Hours
Not specified hours
Work requirement: Not specified
CE Topics: Not specified
Out-of-State Reciprocity
Alabama accepts respiratory therapist licenses from other states if the applicant holds a valid RRT license. Applicants may also qualify through equivalent special training or previous employment under certain conditions.
Requirements for Reciprocity
- Hold a valid RRT license from another state
- Approval of special training by the board
- Employment in respiratory therapy under physician supervision at the time of regulation adoption
State Agreements
Not specified
Additional Exams
No additional exams required for holders of valid out-of-state RRT licenses
Application Process
Complete and submit an application with all required documentation and fees
Fees
Not specified
Processing Time: Not specified
Licensing Tips
Ensure all parts of the application are complete to avoid delays
Review Alabama's specific requirements for training and examinations even if you are licensed in another state
Recommended Resources
Kettering National Seminars CRT/RRT Exam Review
Provides a series of practice questions and simulations tailored to the CRT exam format.
LindseyJones CRT RRT Test Prep
Offers comprehensive practice exams and study materials, focusing on the key areas tested in the CRT certification.
Respiratory Care Exam Review: Review for the Entry Level and Advanced Exams, 5th Edition
Covers test-taking strategies and critical content for both entry-level and advanced respiratory therapists.
Comprehensive Respiratory Therapy Exam Preparation Guide, 3rd Edition
Includes detailed content review and practice questions to prepare candidates for both CRT and RRT examinations.
Littmann Classic III Monitoring Stethoscope
Essential for auscultation training and practice, a fundamental skill for respiratory therapists.
Pulse Oximeter
Used to measure oxygen saturation and pulse rate, critical for assessing patient respiratory function.
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Sources
- Bureau of Labor StatisticsAccessed 2026-02-12
- Alabama Licensing BoardAccessed 2026-02-12
- CareerOneStopAccessed 2026-02-12