How to Refresh Expired Anatomy & Physiology (A&P) for RT School- you are ready to apply to a respiratory therapy program, and then you read the fine print: your anatomy and physiology credit is too old to count. For prospective respiratory therapy students, an expired A&P is one of the most common roadblocks — and it almost always surfaces on a deadline. The good news is that it is also one of the most fixable. This guide explains why anatomy and physiology expires for respiratory therapy programs, how to confirm whether yours has, and the fastest reliable way to refresh an expired A&P credit so your application is complete.

If you want the full requirement list first, start with our complete respiratory therapy prerequisites guide. Otherwise, let’s solve the expired-A&P problem directly.

Why anatomy and physiology “expires” for respiratory therapy programs

Respiratory therapy programs apply a recency requirement to science prerequisites because foundational knowledge fades and clinical science evolves. The typical window for anatomy and physiology — and for microbiology — is five to seven years, with competitive and accelerated programs often holding to a strict five years. General-education courses such as English, math, and psychology usually last far longer, so A&P is frequently the only prerequisite standing between an otherwise-qualified applicant and a complete file.

Two trends make this stricter than it used to be. First, respiratory therapy programs increasingly calculate a separate science GPA, so they want the science recent and strong. Second, registrars are more often verifying that the A&P lab used physical specimens rather than digital simulations. Both are worth confirming before you enroll anywhere to retake.

How to tell if your A&P has expired

A quick three-point check tells you where you stand:

  • Find the exact completion date on your official transcript (term and year).
  • Read each respiratory therapy program’s recency rule — look for “within 5 years,” “within 7 years,” or “at the time of application.”
  • Confirm your original anatomy and physiology course included a lab and came from a regionally accredited school.

If your completion date falls outside any target program’s window — or you are close enough that it will expire before you enroll — plan to retake. When in doubt, email the program directly; recency rules are rarely flexible, but a quick confirmation can save you months.

“Refreshing” vs. retaking A&P for credit

Here is the distinction that trips people up: a free review video or a non-credit “refresher” does not reset the date on your transcript. Respiratory therapy programs accept a dated, graded, transferable course — not self-study. So for almost everyone, the real way to refresh an expired anatomy and physiology credit is to retake A&P I and II for fresh, transcripted credit.

Non-credit “refresher”Retaking A&P for credit
Does not appear on an official transcriptProduces a new, dated transcript entry
No grade for a science-GPA calculationEarns a letter grade programs can count
Usually not accepted toward prerequisitesTransfers into CoARC programs when regionally accredited
Fine for review onlyResets recency and satisfies admissions

How A&P recency windows actually work

Recency rules vary, and knowing the pattern helps you plan. Science prerequisites — anatomy and physiology above all, plus microbiology and chemistry — carry the tightest windows, commonly five to seven years, with accelerated programs often enforcing a strict five. General-education courses age much more slowly; many programs accept them for seven to ten years or treat them as effectively permanent. That asymmetry is why A&P is so often the single course standing between an applicant and admission.

Windows are measured to a specific point — usually the application date or the program start date — so a course that is valid the day you apply can lapse before you enroll. If you are near the edge, count the months carefully and, when in doubt, retake rather than gamble on an exception. And if more than one science has aged out, refresh them together: retaking A&P I and II alongside microbiology or chemistry in a single self-paced stretch resets your whole science file at once and rebuilds a recent, strong science GPA in the process.

The fastest way to refresh expired A&P: self-paced online courses

The slowest part of retaking anatomy and physiology is usually waiting for a fixed semester section to open. Self-paced, online, accredited A&P removes that bottleneck — you can start today and finish on your own timeline, often well before an application deadline, with the lab component respiratory therapy programs expect. The two courses to retake are Anatomy & Physiology I (BIO 270) and Anatomy & Physiology II (BIO 275).

Take both as a sequence so they come from the same provider — some programs require A&P I and II from a single institution. If microbiology (BIO 210) or general chemistry (CHEM 151) has aged out alongside your A&P, refresh those at the same time.

Make sure your refreshed credit will count

Before you enroll anywhere, confirm the course clears every filter a respiratory therapy program applies:

  • Regionally accredited institution, so the credit transfers cleanly.
  • Includes a lab — ideally one programs recognize, not simulation-only.
  • A&P I and II from the same provider if your target program requires it.
  • A grade of C or better (B or higher for competitive programs).
  • Completed within the program’s recency window before you apply.

Confirm before you enroll. Transfer and acceptance decisions rest with your respiratory therapy program. Ask the registrar whether a regionally accredited online A&P with a lab will satisfy the requirement, and keep the syllabus on file in case they request a course-by-course match.

Your A&P refresh plan, step by step

  1. Confirm the deadline and recency window for every respiratory therapy program on your list.
  2. Enroll in Anatomy & Physiology I (BIO 270) immediately — self-paced means the clock starts when you do.
  3. Sequence Anatomy & Physiology II (BIO 275) right after, from the same provider.
  4. Add microbiology or chemistry if those have also expired.
  5. Request an official transcript be sent to your target program(s) as soon as grades post.
  6. Submit your application with a fully current science file.

Frequently asked questions

Does anatomy and physiology expire for respiratory therapy school?

Yes. Most respiratory therapy programs require anatomy and physiology to be completed within about five to seven years of application, and some competitive programs enforce a strict five-year window.

My A&P is only a few months past the window. Is there any flexibility?

Rarely. Recency rules are usually firm. Email the program to confirm, but be ready to retake A&P for fresh credit.

I earned an A the first time. Do I still have to retake it?

If the course is outside the recency window, yes — the grade does not override the date. The upside is that a strong retake also refreshes your science GPA.

Can I just retake A&P II if only that course expired?

Sometimes, but many respiratory therapy programs want the full sequence current and from one provider. Confirm with the program before splitting them.

How fast can I refresh expired A&P online?

It depends on your pace, but a self-paced online course has no semester start date, so you can begin immediately and often finish well ahead of a fixed-term schedule. Leave time for the official transcript to be sent.

Related guides and resources

Keep planning with these PrereqCourses guides: the complete respiratory therapy prerequisites guide, the respiratory therapy prerequisite checklist, and mapping RT prerequisites for career changers.

Authoritative outside resources: the BLS Occupational Outlook for respiratory therapists, the CoARC accredited-program directory, and the National Board for Respiratory Care.