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Continuing Education for Acupuncturists

As a prerequisite for acupuncturist registration, practitioners are required to complete continuing acupuncture education.


Acupuncturists need to complete at least 17 hours of continuing acupuncture education every 12 months. CAE hours should be counted from December 1 - November 30. The Approved Courses List gives four types of courses: General, Herbal, Ethics, Practice Management/General and Biomedicine as well as whether the course is offered as a live lecture, distance learning or the internet.


Documentation of CE courses shall be made available to the Board upon request, but should not be submitted with the registration. Random audits will be made to assure compliance.

If you have any questions regarding continuing education requirements, please email us at .


The required hours shall be from courses that meet at least one of the qualificaitons listed below:

  • designated or otherwise approved for credit by the Texas State Board of Acupuncture Examiners based on a review and recommendation of the course content by the Education Committee of the board  (see “Board Approved CAE Courses” tab below),
  • are offered by Approved Providers  (see “Board Approved CAE Providers” tab below),
  • have been approved for CAE credit for a minimum of 3 years by another state acupuncture board after having gone through a formal approval process,
  • approved by the NCCAOM for professional development activity credit, OR
  • provided outside the United States by a provider of continuing acupuncture education that are acceptable to the Board.


To ensure compliance with Board Rules, the 17 hours must include include the following core hours: 

  • At least 4 hours in general acupuncture therapies
  • At least 2 hours in ethics and safety
  • At least 3 hours in herbology
  • At least 2 hours of biomedicine
  • At least 2 hours in courses that primarily relate to business practices or office administration

Other course requirements:

  • At least 9 hours each year must be approved for credit by the Education Committee of the board, offered by approved providers, or approved for CAE for 3 years by another state
  • No more than a total of 8 hours per year completed under NCCAOM or provided outside the United States


Courses may be taught through live lecture, distance learning, or the Internet.

An acupuncturist must report on the registration permit application if she or he has completed the required CAE.


There is a maximum of 34 total excess credit hours that may be carried forward and a limit of two years from the date of the annual registration following the period during which the hours were earned. Excess hours are applied/reported according to their Category.   See Board Rule 183.20 for additional information.



A licensee may request in writing an exemption* for the following reasons:

  • the licensee's catastrophic illness;
  • the licensee's military service of longer than one year's duration;
  • the licensee's residence of longer than one year's duration outside the United States; or
  • good cause shown submitted in writing by the licensee that gives satisfactory evidence to the board that the licensee is unable to comply with the requirement for continuing education.

*Exemptions are reviewed on a case by case basis and must be requested in writing at least 30 days prior to the expiration date of the license.  An exemption may not exceed one registration period, but may be renewed, subject to approval.


Acupuncture Continuing Education Exemption Request Form

  • Acupuncturists

    Texas Acupuncture Schools

    All three are accredited acupuncture schools in Texas.

    AOMA Graduate School of Integrative Medicine

    4701 West Gate Blvd.
    Austin, Texas 78745
    Phone: (512) 454-1188
    Fax: (512) 454-7001

    American College of Acupuncture and Oriental Medicine

    9100 Park West Drive
    Houston, Texas 77063
    Phone: (713) 780-9777
    Fax: (713) 781-5781

    Texas Health and Science University

    4005 Manchaca Road, Suite 200
    Austin, Texas 78704
    Phone: (512) 444-8082

    Certifying Organizations

    National Certification Commission for Acupuncture and Oriental Medicine (formerly NCCA)
    11 Canal Center Plaza Suite 300
    Alexandria, VA 22314
    (703) 548-9004

    The Council of Colleges of Acupuncture and Oriental Medicine (CCAOM) 
    3909 National Drive, Suite 125 
    Burtonsville, MD 20866 
    301-476-7790 (ph) 
    301-476-7792 (fax)

    Accreditation Commission for Acupuncture and Oriental Medicine (formerly NACSCAOM)
    Maryland Trade Center #3
    7501 Greenway Center Court 
    Suite 820
    Greenbelt, MD 20770
    (301) 313-0855


    Board Rules require the posting of a notice of complaint procedure in English and Spanish. The signs must be displayed prominently, supplied with all bills for services, and/or placed on all registration forms, applications or contracts.