Sample Statement of Practice & Letter of Recommendation

Sample Statement of Practice and Letter of Recommendation for HRV Biofeedback Certification by Prior Experience

In order to apply for biofeedback certification by prior experience (CPE), your statement of clinical practice should include:

  •     Timeframe using HRV biofeedback in your clinical practice
  •     Approximate number of patient/clients in that time frame (For example, as a way to calculate your hours, if you saw 20 clients for a one-hour session per week for 50 weeks a year, that would be 1,000 patient/client hours)
  •     The diagnoses you treat
  •     Setting (private practice, hospital, etc.)

An example of a proper statement is provided below:

"As a licensed occupational therapist, I was looking for a new tool to work with patients, children and adults diagnosed with elimination disorders. I began to add HRV biofeedback to my practice in 1998. For the first 2 years, it was only about 20% of my practice or about 800 hours. My practice grew steadily through about 2005 and HRV biofeedback was at least 50% of my practice during those years or about 6,000 hours. From 2006, I use HRV biofeedback with at least 75% of my practice or about 1500 hours per year. I estimate that I have performed well over 10,000 hours of HRVbiofeedback."

Sample Letter of Recommendation

"I have read the statement of clinical practice for Dr. ________. I have known him/her for over 10 years and can agree with his/her account of his/her clinical work using HRV biofeedback."

A recommender may add any other statements that would be helpful for the board to review. For example:

"Additionally, I have referred several patients to Dr. ________ and we often consult on patients/clients. He/She was a member of the ________ state biofeedback society and we worked together on several presentations and other committee work. I have found him/her to be a competent clinician who has a good reputation in our health care community."


Applicants Start Here
Biofeedback Certification
HRV Biofeedback Certification
HRVB Pre-requisite Educational Requirements
HRV Biofeedback Didactic Training
HRVB Mentoring
Filing An HRV Application
HRVB Certification Exam
Filing an HRV Biofeedback CPE Application
HRVB CPE Validation Exam
Neurofeedback Certification
Pelvic Muscle Dysfunction Biofeedback Certification
HRV Certificate Program
Application Status
Online Payment Options
Is There a State/Regional Biofeedback Society Near you?