How Long Does It Take to Become a Respiratory Therapist- the honest answer is “about two to four years” — but the part of that timeline you actually control sits at the very front. Here’s the full picture, and how to shorten the phase that’s in your hands.

Target keyword: how long to become respiratory therapist   •   Last verified May 2026 against current program pages

The short answerBecoming a respiratory therapist takes about two years via an associate degree or about four years via a bachelor’s, followed by passing the national board exam(s) and obtaining a state license. Associate programs run roughly two years (some accelerated tracks finish in about 18 months); bachelor’s programs run about four years total, and RRT-to-bachelor’s degree-advancement programs add about one year for already-credentialed therapists. But those program clocks only start once you’re admitted — and the prerequisite phase that comes first is the part you control. Completing your prerequisites efficiently, with strong grades, is the single biggest lever you have over your total timeline.

“How long does it take to become a respiratory therapist?” is one of the first questions people ask about the field, and the honest answer has two parts. The program itself takes a fairly fixed amount of time — about two years for an associate degree, about four for a bachelor’s. But the full timeline, start to finish, also includes a phase that’s entirely in your hands and that most people underestimate: completing prerequisites and getting admitted. This guide lays out the complete timeline honestly, then focuses on the part you can actually move — because the prerequisite stage is where you have the most control over how fast you get there. For the full requirement list, the respiratory therapy prerequisites guide is the hub. (This guide covers the path into the field, not clinical practice.)

In this guide

The full timeline, start to finish

Becoming a respiratory therapist has four phases, and it helps to see them as a sequence because each one gates the next:

  1. Prerequisites. Before you can enter a respiratory therapy program, you complete the required prerequisite courses — anatomy and physiology, microbiology, chemistry, math, medical terminology, and general education. This phase varies most in length and is the one you control.
  2. The respiratory therapy program. A CoARC-accredited associate (about two years) or bachelor’s (about four years) program with classroom, lab, and required in-person clinical training. This clock is relatively fixed once you start.
  3. The credentialing exam(s). After graduating, you sit for the National Board for Respiratory Care exam(s) to earn the CRT and/or RRT credential. This is a matter of scheduling and preparation — weeks to a few months, not years.
  4. State licensure. With your credential, you apply for a state license to practice (required in every state except Alaska). Processing time varies by state but is typically measured in weeks.

So the two big time blocks are the prerequisites and the program. The exam and license are comparatively short administrative steps at the end. When people say “about two years,” they usually mean the associate program itself — but your real start-to-finish time also depends on how long the prerequisite phase takes, which is exactly where you have leverage.

How long the program takes: associate vs. bachelor’s

The program is the largest fixed block, and its length depends on the degree you pursue:

PathTypical lengthNotes
Associate (AAS/ASRC)~2 yearsStandard entry; accelerated tracks ~18 months
Bachelor’s (entry-level BSRC)~4 yearsSome are 2 years of professional study atop pre-reqs
RRT-to-bachelor’s (degree advancement)~1 yearFor already-credentialed RRTs advancing the degree

The associate path (~2 years) is the most common and the fastest route to becoming a licensed respiratory therapist. Associate programs typically run two years of professional coursework and clinicals (often around 70 credits), and some accelerated programs with year-round terms finish in roughly 18 months. This is the route most people mean when they say it takes “about two years.”

The bachelor’s path (~4 years) takes longer but is increasingly preferred by employers and opens leadership, education, and specialty roles. Some “entry into practice” bachelor’s programs are structured as about two years of upper-division professional study on top of a pre-professional associate or equivalent — so the four years includes the foundational coursework, not just RT courses. For the trade-offs between the two, see associate vs. bachelor’s (BSRC) prerequisite differences.

The two-step route. Many therapists do the associate first (fastest to licensure and income), then complete a bachelor’s later — often a one-year RRT-to-bachelor’s degree-advancement program, frequently while working and sometimes with employer tuition support. This spreads the time and cost and lets you earn an RT salary during the second step.

The program clock is mostly fixed — the front end isn’tOnce you’re admitted, the program runs about two years (associate) or four (bachelor’s), and there’s limited room to compress accredited clinical training. The variable, controllable time is before the program starts — the prerequisite and admissions phase. That’s where your choices actually change your total timeline.

The part you control: the prerequisite phase

Here’s the insight that this guide exists to deliver: the prerequisite phase, not the program, is where your total timeline is won or lost. The program length is largely set by accreditation standards and clinical requirements. But how long you spend completing prerequisites and getting admitted varies enormously — from a focused several months to several stalled years — and that variation is driven by your choices, not the school’s calendar.

Three things make the prerequisite phase the controllable lever:

  • It happens before the program clock starts. Every week you save on prerequisites is a week earlier you start the program — and therefore a week earlier you finish. Time saved here flows straight through to the end date.
  • Its pace is yours to set. Unlike the fixed-cohort program, prerequisites can be completed self-paced and online. You can move quickly when you have time, take courses year-round rather than waiting for fall semesters, and avoid the gaps that stretch this phase out for many applicants.
  • Done poorly, it adds hidden years. This is the part people underestimate. Weak prerequisite grades, expired science credits, or taking courses one fixed semester at a time can add a year or more before you’re even admitted — and at competitive, seat-limited programs, a low GPA can mean reapplying for another cycle entirely.

In other words, two people pursuing the same two-year associate degree can have very different start-to-finish timelines depending entirely on how they handle the prerequisite phase. The one who completes prerequisites efficiently, with strong grades, within the recency window, and gets admitted on the first try, finishes a year or more ahead of the one who takes prerequisites slowly, earns marginal grades, and has to reapply.

Where PrereqCourses fits the timelineSelf-paced, regionally accredited prerequisites let you control the front of the timeline — completing the science and general-education requirements on your own schedule rather than waiting on fixed semesters. PrereqCourses delivers them through Upper Iowa University (HLC-accredited), with credit posting to an official transcript for transfer into your program. It’s the lever for the one phase you actually control.

The hidden time most people miss: competitive admissions

There’s a second source of variable time that timeline estimates rarely mention: getting admitted. Because respiratory therapy is a strong, growing field — the U.S. Bureau of Labor Statistics projects 12% growth from 2024 to 2034, much faster than average — programs are competitive: most require a minimum GPA, rank applicants for a limited number of seats, and admit cohorts on a set annual cycle. That has real timeline consequences:

  • Reapplying costs a full cycle. If you aren’t admitted on your first try — often because of a borderline prerequisite GPA — you may wait a full year for the next cohort. A single failed application can add twelve months to your timeline, dwarfing any other delay.
  • Annual intake means timing matters. Many programs admit once a year. Missing an application deadline, or finishing prerequisites just after one, can mean waiting months for the next window. Aligning your prerequisite completion with the application cycle avoids this dead time.
  • Expired prerequisites trigger retakes. Science prerequisites commonly expire after about five years. If yours have aged out, you’ll retake them before applying — adding time you could have avoided by timing the sciences closer to your application.

The lesson: the surest way to keep your timeline short is to be admitted on the first attempt, which means strong prerequisite grades and good timing. That makes the prerequisite phase not just a checkbox but the decisive timeline lever. For the GPA and admissions dynamics, see what GPA you need for RT school and how to get into a respiratory therapy program.

Two realistic timelines

To make it concrete, here are two start-to-finish paths for the same associate-degree goal — differing only in how the prerequisite phase is handled:

Fast path vs. slow path (same associate-degree goal)Fast path (~2.5–3 years total): Complete prerequisites self-paced in under a year, with strong grades, timed to the application cycle → admitted on first try → ~2-year associate program → exam and license. The prerequisite phase is short and clean, so total time is close to the program length itself.Slow path (~4–5 years total): Take prerequisites one fixed semester at a time over two-plus years, earn a borderline GPA, miss an application deadline, get waitlisted and reapply the next cycle → finally admitted → same ~2-year program. The program was identical; the front end doubled the timeline.

Same degree, same program, same career — but a difference of a year or two, driven almost entirely by how the prerequisite and admissions phase was handled. This is why “how long does it take?” has no single answer: the program is fixed, but the part you control swings the total. Handle the front end well and your timeline approaches the program length; handle it poorly and it stretches.

Frequently asked questions

How long does it take to become a respiratory therapist?

About two years via an associate degree or about four years via a bachelor’s, plus the credentialing exam(s) and state licensure (short administrative steps). The associate path is the fastest route to becoming a licensed RT. Your total time also depends on how long the prerequisite and admissions phase takes.

What’s the fastest way to become a respiratory therapist?

Complete an associate degree — about two years, with some accelerated tracks around 18 months — after finishing prerequisites efficiently and being admitted on the first try. The fastest paths minimize time in the prerequisite/admissions phase, which is the part you control.

How long does the bachelor’s path take?

About four years total for an entry-level bachelor’s, some structured as roughly two years of upper-division study atop pre-professional coursework. Already-credentialed RRTs can complete a one-year degree-advancement bachelor’s, often while working.

Why do timelines vary so much?

Because the program length is fairly fixed, but the prerequisite and admissions phase isn’t. Slow prerequisite completion, weak grades, expired science credits, or reapplying after a missed cycle can add a year or more before the program even starts.

Can I shorten the timeline?

Yes — at the front end. Complete prerequisites self-paced and efficiently, earn strong grades, keep science credits within the recency window, and time your completion to the application cycle so you’re admitted on the first attempt. That’s the controllable lever over your total time.

Do the prerequisites count toward the two years?

No — the ~2-year associate figure refers to the program itself, which starts after you’re admitted. Prerequisites come before that, so they’re additional time. Completing them efficiently is how you keep your total start-to-finish timeline close to the program length.

The bottom line

Becoming a respiratory therapist takes about two years (associate) or four (bachelor’s) plus exams and licensure — but the prerequisite phase before the program is the part you control, and it’s where your real timeline is decided. 

The program clock is largely fixed by accreditation and clinical requirements. The variable time sits at the front: how efficiently you complete prerequisites, how strong your grades are, and whether you’re admitted on the first try. Complete prerequisites self-paced and well, time them to the application cycle, and your total timeline approaches the program length itself — handle the front end poorly and it can stretch by a year or more. The prerequisite stage is the lever; use it.

Start the lever you control. Explore the self-paced RT prerequisite courses — A&P, microbiology, chemistry, math, and medical terminology — through HLC-accredited Upper Iowa University, and keep the front of your timeline short.

Related respiratory therapy guides

Plan your path into the profession:

Program lengths, accelerated options, admissions cycles, and recency rules vary by program and change. Employment-growth figures are from the U.S. Bureau of Labor Statistics (2024–2034 projections). Always verify the specific timeline, prerequisites, and application deadlines against your target program’s current information before planning. This guide is general information only and is not a guarantee of admission, completion time, or licensure.