A massage therapist may perform intraoral massage after completing specific intraoral massage education and training and after receiving an intraoral massage endorsement to their massage therapist license.

To qualify for an intraoral massage endorsement a massage therapist must complete the following education and training:

1. (1) Sixteen hours of direct supervised education and training, which must include:

   1. (a) Hands-on intraoral massage techniques, cranial anatomy, physiology, and kinesiology;
   2. (b) Pathology, cautions, and contraindications; and

   3. (c) Hygienic practices, safety and sanitation. Hygienic practices, safety and sanitation includes, but is not limited to:

      1. (i) Gloves must be worn during treatment and training which involves intraoral procedures;
      2. (ii) Fresh gloves must be used for every intraoral client or patient contact;
      3. (iii) Gloves that have been used for intraoral treatment must not be reused for any other purpose; and
      4. (iv) Gloves must not be washed or reused for any purpose. The same pair of gloves must not be used, removed, and reused for the same client or patient at the same visit or for any other purpose.
2. (2) Supervised education and training must be obtained from a massage therapist endorsed in intraoral massage or from an individual who is licensed, certified, or registered and who has performed intraoral massage services within their authorized scope of practice.

[Statutory Authority: RCW 18.108.085 and 18.108.025. WSR 23-07-065, § 246-830-490, filed 3/10/23, effective 4/10/23. Statutory Authority: RCW 18.108.025 (1)(a), 18.108.085 (1)(a), 43.70.041 and chapter 18.108 RCW. WSR 17-14-062, § 246-830-490, filed 6/29/17, effective 7/30/17. Statutory Authority: Chapter 18.108 RCW, 2007 c 272. WSR 08-17-001, § 246-830-490, filed 8/6/08, effective 9/6/08.]