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ITEC Level 3 Diploma in Reflexology

Course Overview

Professional reflexology qualifications with a blend of interactive online home study and class attendance

You will learn to read the reflex zones and areas of the feet and hands and how they mirror the body systems and organs. By applying specific techniques to these reflex points, we can help to rebalance the whole body and promote wellbeing.

You can explore the different areas of the course below:


This is an age old therapeutic technique that many clients can benefit from and is one of the few practices that can be offered safely as relief to cancer patients. This course would benefit anyone new to the industry as well as a therapists wanting to expand their skill base, allowing you to operate your own clinic, or gain employment in the leisure or care industries.

Ideal for anyone looking to begin a new career or have a new income stream alongside an existing career.

Strive for excellence learning to truly hold a space for your client, energising all systems to stimulate wellbeing of each individual as a whole and reacting to the unique needs of each client.

Upon successful completion of this course, you will be a professional reflexologist and will be able to gain insurance to practice upon the general public. The ITEC Level 3 Reflexology qualification will also allow you to join many associations such as the FHT (Federation of Holistic Therapists), CThA (Complementary Therapists Association) or AOR (Association of Reflexologists) - please note, only our Saturdays course route is accepted by the AOR due to their requirements of the attendance days being over 4 months. This qualification will also allow you to apply to the CNHC which is essential if you would like to work within the NHS.

Additionally, once qualified, you will be able to continue your journey as a therapist adding to your skill base with CPD (Continued Professional Development) short courses. We offer a host of 1 and 2 day courses such as Advanced Hand Reflexology, Luxury Reflexology and Indian Head Massage to enhance your treatments and build a truly unique business that excites you and allows you to explore this incredible industry.


  • Online Learning: Study Level 3 Anatomy & Physiology and Reflexology Theory through interactive e-learning with presentations, videos, materials, and quizzes. Classroom options available for A&P learning.
  • Classroom Training: Choose between a 6-day Fast Track or 8-day Saturday format for in-person tuition. This reinforces theory knowledge, imparts practical hand skills, and teaches essential consultation processes.
  • Starter Bundle: Receive a Tunic and Towel Bundle on your first day of classroom attendance.
  • Ongoing Support: Benefit from bi-weekly Zoom catch-up calls with your tutor and peers, allowing for questions, online learning review, and case study discussions.
  • Personalised Support: Schedule one-to-one video calls with your tutor when needed.
  • Community Access: Join 'Thursday Evenings' for practice, learning from others, and becoming part of a therapist community.
  • Small Class Sizes: Experience maximum support in small class groups (8-10 students max).
  • All-Inclusive: The course cost covers ITEC Registration and final exam fees.
  • Career Resources: Access our private Facebook group with local job opportunities and equipment listings.
  • Business Building: Attend free workshops to enhance your entrepreneurial skills.

Check out the "Courses Syllabus" tab for detailed information of the syllabus. 

You can select how you'd like to study the Anatomy & Physiology unit of your course below (this defaults to e-learning) but you can change this to classroom learning and select your preferred dates for attendance.

If you select to study the A&P via e-learning, you will have access immediately to the online home study that you can work through at your own pace. You can study the A&P unit before, alongside and after your classroom contact days. This will be delivered to you via videos, interactive presentations, written materials and quizzes.

Upon booking, you will also have immediate access to the reflexology theory online pre-learning materials. We recommend allowing yourself around 15-25 hours of study to familiarise yourself with the online theory in advance of the classroom dates. This is a guideline of hours for reviewing this learning content and may be more or less depending on your prior knowledge and learning style.

You will then attend the college for 6 days (Fast Track) or 8 days (over Saturdays) to review the theory and learn the practical application of reflexology. Your classroom attendance can be selected from the date options below.

Fast Track: This refers to how the course days are studied rather than fast tracking you through the course. When selecting the "Fast Track" course date options, you will attend for 6 consecutive days (usually Monday-Saturday). This allows you to begin your coursework as soon as you complete your block of classroom days.

Saturdays: When selecting a course date option for Saturdays, you will attend 8 Saturday classroom days; the first 6 days covering the skills to give a full treatment, and the final 2 days being clinical practice with tutor supervision. This route is designed for those looking to join the AOR. You can begin your coursework towards the end of your classroom days.

Take a look at the Assessment Criteria tab for more information on coursework and examination requirements.

Course Syllabus

Unit iUCT32 - Provide Reflexology for Complementary Therapies

View the full ITEC syllabus here

Students learn through classroom-based tuition and active participation. Regular home-study is carefully designed to prepare our students for their examinations and more importantly, to become excellent therapists.

Classes are taught in a relaxed environment using detailed practical demonstration. Students work closely with the tutor learning not only the techniques but also how to protect themselves while carrying out reflexology treatments.

Key contents include:

  • Anatomy & Physiology of the Foot, Ankle, Lower Leg, Hand, Wrist, and Lower Arm
    • Detailed study of the structures and functions of these body parts, enabling a comprehensive understanding of their anatomy.

  • Holistic Care and Historical Use of Reflexology
    • Exploring the concept of holistic care and tracing the historical applications of reflexology throughout different cultures and periods.

  • Reflexology Methods and Zones
    • Understanding methods for interpreting the feet, including zones, cross referral, and reflex points, along with their corresponding functions.

  • Recognition and Management of Disorders
    • Identifying and managing disorders, ensuring comprehensive knowledge for effective treatment.

  • Stress Management and Palliative Care
    • Learning strategies for managing stress and addressing common conditions, especially in clients requiring palliative care, incorporating reflexology as a holistic approach.

  • Legislation and Ethical Considerations
    • Understanding legislation pertinent to reflexology provision, focusing on obtaining consent and complying with legal requirements.

  • Contraindications and Medical Referral
    • Identifying contraindications, understanding when to refer for medical assessment, and recognising possible reactions to reflexology treatments.

  • Complete Client Care
    • From initial assessment to providing home care advice, developing a comprehensive approach to client care, ensuring their well-being throughout the reflexology process.

This comprehensive curriculum covers anatomical understanding, reflexology techniques, historical context, holistic care principles, ethical considerations, and practical client care skills, equipping learners with the knowledge and proficiency needed to excel in reflexology practice while ensuring the well-being of their clients.

Unit iUCT38 - Knowledge of Anatomy, Physiology and Pathology for Complementary Therapies:

View the full syllabus for Unit iUCT38 here

Understand the anatomy, physiology and pathologies of each system:

  • Organisation of the body
  • Cells
  • Skeletal
  • Muscular
  • Cardiovasular
  • Respiratory
  • Digestive
  • Neurological/Nervous
  • Endocrine
  • Lymphatic
  • Reproductive
  • Urinary
  • Skin, Hair, Nails

Assignment 2: Unit iUCT34 Business Practice for Complementary Therapies

View iUCT34 Assignment Guidelines Here

Plan and prepare an appropriate business plan for a potential complementary therapy practice

Assignment 1: Unit 384 Principles and Practice of Complementary Therapies

View iUCT21 Assignment Guidelines Here

Identify and explain the origins and principles of 4 other complementary therapies.

If you've completed similar assignments as part of a prior qualification, such as a Massage Diploma, within the last three years, you might qualify for RPL (Recognition of Prior Learning). Get in touch to discuss if this might be available to you.

Assessment Criteria

After completing your reflexology class days, you'll begin home-based studies and assignments.These must be submitted upon your return to the Academy for final exams.

Students are able to register for their final exams, having completed the required folder work which as an estimate takes an average of 6-8 months. To prepare adequately, it's suggested to allocate 5-10 hours per week for case studies, theory studies, and assignments.

Folder Work / Portfolio

After your contact days, you will complete: 

  • 40 Case studies (10 individuals, each receiving treatments 4 times)
  • Plus 60 individual reflexology treatments
  • Writing 2 assignments (Business Plan & Complementary Therapies)


  • "Mock" Practical Exam (2 weeks before the actual exam, for practice and tutor feedback)
  • Practical Exam, externally invigilated by ITEC
  • Anatomy & Physiology Theory Paper: 50 multiple choice questions

Entry Requirements

No Previous Experience Needed - Suitable for complete beginners!

If you already hold a recognised Level 3 Anatomy & Physiology qualification or completed the same assignments in another qualification, you may be eligible for Recognition of Prior Learning (RPL) subject to specific criteria:

  • It must be a regulated qualification
  • Qualifications must be less than 3 years old
  • minimum of 80% of the syllabus must match

We'll initiate the official RPL process with ITEC after enrollment, involving a fee of £35+VAT. Contact us to begin or check your qualification's eligibility. Alternatively, you can self-study the A&P unit and just sit the exam with us.

Books for Study

Below is a list of books that we recommend students buy to support their studies.

An Introductory Guide to Reflexology


An Introductory Guide to Business                            


Business Book.jpg

An Introductory Guide to Anatomy and Physiology-5th Edition


Anatomy & Physiology Book.jpg

Why Train with Us

At the Academy, we are dedicated to providing the highest quality training in Complementary Therapies and Sports Massage, ensuring that each student attains the highest level of professional qualification. What sets us apart is our unwavering commitment to your success.

Here's why you should choose us:

1. ITEC Accredited Course: Ensuring highest quality training.

2. Guaranteed Small Group Tuition: We believe in personalised support, so our class sizes are kept small, with a maximum of 10 students per tutor. This ensures that you receive individual attention and guidance throughout your training.

3. Passionate, Experienced Tutors: Our experienced tutors are not just educators; they are industry experts committed to upholding the highest standards. You'll learn from the best in the field.

4. Free Thursday Evening Support: Your learning journey doesn't end when you're qualified. We offer free Thursday in person evening support, available both during your training and after you've earned your certification. We're here to assist you every step of the way.

5. A Positive, Inclusive Learning Environment: Our academy provides a fun and friendly atmosphere where you can immerse yourself in your studies and connect with like-minded individuals who share your passion for complementary therapies.

6. Exclusive student TOTUM Card Eligibility: All our courses qualify you to apply for a TOTUM card, granting you access to discounts and savings at various retailers, making your educational journey even more cost-effective.

7. Ongoing Industry Support: We are committed to your success as a qualified therapist. Beyond your training, we offer free talks on setting up your own practice, provide access to exclusive Facebook groups with job opportunities, and maintain regular contact with your dedicated tutor. We're here to support your journey into the industry.

When you choose the Academy, you're not just choosing a training college; you're choosing a pathway to a successful and fulfilling career in Complementary Therapies. Join us today and embark on a journey of knowledge, growth, and achievement.

About Your Tutor(s)

Annette Stoker

Holistic Tutor

I have been involved with the Complementary Therapies Industry since 2004 and have been teaching since 2008. I have a teaching degree in post compulsory education (Cert Ed) and am ITEC qualified in all the subjects I teach. Having worked in prestigious spas and run my own practice, I am confident that as a passionate and committed member of the team I can inspire, enthuse and provide you with the skills and knowledge to become a highly sought after therapist in your chosen field.


Please pass on my thanks to all the staff and tutors, especially yourself (Olivia), Annette, Yvonne, Yvette and Chris. It’s your combined effort that got me there so quickly. The Thursday nights really helped build my confidence. You all also ignited my passion for reflexology and making a difference in people’s lives through my treatments. It’s been life-changing for me to find something that I enjoy so much and it isn’t in the least bit stressful.

— Leanne - L3 Reflexology | February 2019

The flow of work was very good, broken into manageable chunks. Annette is a great tutor and our group was well supported. I thoroughly enjoyed my 2 weeks with the college

-Student wished to remain anonymous  | L3 Reflexology | July 2019

Annette is awesome, her knowledge is vast and her experience really adds to the learning. The atmosphere is so relaxed and the mix of theory and practical learning covers all the learning styles and keeps the energy during the day from dipping. Possibly some social element built in for networking

-Student wished to remain anonymous | L3 Reflexology | Sept 2019

A very balanced mix of theory and practical taught in a relaxed but methodical manner. The academy is very welcoming and it feels like you belong to a lovely group of people that will remain to be supportive during your training and beyond 

- Hailie | L3 Reflexology | March 2018

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Frequently asked questions

Reflexology is a holistic healing practice that involves applying pressure to specific points on the feet, hands, or ears to promote relaxation, alleviate stress, and stimulate the body's natural healing processes. It is based on the belief that these reflex points correspond to different organs and systems in the body, and by working on them, one can improve overall well-being.

To become a certified reflexologist, you need to enroll in a reflexology training program offered by an accredited college. These programs provide comprehensive training in reflexology techniques and theory as well as Anatomy and Physiology. After completing the required coursework and practical training, you can take an examination to earn your certification. At the Academy we offer ITEC Accredited reflexology courses, the leading accrediting board in the UK.

Yes, there are online reflexology courses available, however these courses don't usually meet the criteria of a regulated qualification (Ofqual). We strongly recommend that students choose a course with in person training as this is an essential part of delivering the practical elements of the course effectively. We appreciate though that some theory elements can be learnt via online learning which is why we've created a blended learning approach on our ITEC Level 3 Diploma in Reflexology. This allows you to learn the theory content at your own pace from the comfort of your home and attend in person training days to apply this theory to the practical application of reflexology. The online study includes video lessons, reading materials, and assignments to ensure a comprehensive learning experience.

Prerequisites can vary depending on the school or program you choose. In many cases, there are no specific educational prerequisites. At the Cotswold Academy, you do not need to hold any previous qualifications to join our ITEC Level 3 Diploma courses as they are designed to train a complete beginner up to a professional qualified therapist.

The duration of reflexology training programs can vary. A typical program may range from 200 to 300 hours of instruction, which can be completed over several months. The ITEC Level 3 Diploma in Reflexology offered at the Cotswold Academy recommends a total of 296 Guided Learning Hours; this includes classroom attendance, online theory learning, treatment logs/case studies and assignment writing. On average, it takes students around 6-8 months to complete the required 100 treatment logs and written coursework after their classroom days.

Choosing the right reflexology school or course is crucial for your education and future career as a reflexologist. Here are some key factors to consider when making your decision:

  1. Accreditation: Look for courses that are accredited by reputable organisations that are RQF government regulated (Ofqual). RQF Accreditation ensures that the program meets certain quality standards within the UK. Examples include ITEC, VTCT, BTEC.

  2. Curriculum: Review the curriculum to ensure it covers essential topics, including anatomy and physiology, reflexology techniques, client assessment, and business ethics. A comprehensive curriculum will provide you with a well-rounded education.

  3. Instructors: Research the qualifications and experience of the instructors. Experienced and knowledgeable instructors can significantly impact the quality of your education.

  4. Hands-On Training: Practical experience is essential in reflexology. Ensure that the program includes ample hands-on training, allowing you to practice and refine your skills on real clients.

  5. Certification: Determine if the program offers certification upon completion. Certification can enhance your credibility and employability as a reflexologist.

  6. Class Size: Smaller class sizes often provide more personalized attention and opportunities for interaction with instructors and peers. Consider the student-to-instructor ratio when evaluating programs.

  7. Location: Consider the location of the school or course. Is it conveniently located, or will you need to travel a significant distance? Online courses may offer flexibility, but in-person training may be preferred for hands-on practice.

  8. Cost: Compare the tuition fees of different programs.

  9. Student Reviews and Testimonials: Read reviews and testimonials from current and former students. Their experiences can provide valuable insights into the program's strengths and weaknesses.

  10. Continuing Education Opportunities: Check if the school offers opportunities for continuing education or advanced training. Reflexology is a dynamic field, and ongoing learning is essential to stay updated.

  11. Licensing and Regulation: Research the licensing and regulation requirements for reflexologists in your area. Ensure that the program you choose aligns with these requirements.

  12. Visit the School: If possible, visit the school or attend an open day to get a feel for the college, facilities, and the overall learning environment.

  13. Ask Questions: Don't hesitate to contact the college or course provider with any questions or concerns you may have. Their responsiveness and willingness to address your inquiries can be indicative of their commitment to student success.

By carefully considering these factors, you can make an informed decision when choosing a reflexology course that aligns with your educational and career goals.

We pride ourselves at the Academy of offering high quality, RQF regulated qualifications that allow our students to excell in their chosen therapy with small class numbers for maximum support.

Certified reflexologists have a range of career opportunities available to them. These opportunities can vary depending on factors such as location, specialisation, and personal preferences. Here are some career paths and opportunities for certified reflexologists:

  1. Private Practice: Many certified reflexologists choose to start their own private practices. They offer reflexology sessions to clients seeking relaxation, stress relief, pain management, and overall well-being. Building a client base and a reputation in the community is essential for success in private practice.

  2. Spas and Wellness Centers: Reflexologists are often employed by spas, wellness centers, and holistic health clinics. They provide reflexology sessions as part of the spa's services, catering to clients seeking relaxation and rejuvenation.

  3. Chiropractic / Osteopathic Clinics: Some chiropractic and osteopathic clinics and alternative healthcare centers employ reflexologists to complement their services. Reflexology can be used in conjunction with chiropractic / osteopathic adjustments to enhance overall wellness.

  4. Hospitals and Healthcare Facilities: In certain healthcare settings, reflexologists may work as part of a holistic care team. They can provide reflexology sessions to patients as a complementary therapy for pain management and stress reduction.

  5. Corporate Wellness Programs: Companies may hire reflexologists to offer wellness programs to their employees. On-site reflexology sessions can help reduce workplace stress and improve employee well-being.

  6. Teaching and Education: Experienced reflexologists can pursue a career in education by becoming instructors at reflexology schools or training programs. Teaching allows them to share their knowledge and passion for the field with aspiring reflexologists.

  7. Research and Writing: Some reflexologists engage in research related to reflexology or write books, articles, or blog posts on the topic. This can contribute to the body of knowledge in the field and offer opportunities for publication.

  8. Traveling Reflexologist: A unique career option is to work as a traveling reflexologist, offering sessions to clients in different locations, such as resorts, hotels, or clients' homes. This can be a flexible and adventurous way to practice reflexology.

  9. Specialisations: Reflexologists can specialise in specific areas, such as prenatal reflexology, pediatric reflexology, sports reflexology, or oncology reflexology. Specialisations can open up niche markets and unique career opportunities.

  10. Community and Outreach: Reflexologists can also engage in community outreach and volunteer work, offering reflexology sessions to underserved populations or participating in health fairs and wellness events.

  11. Product Development: Some reflexologists develop their own line of reflexology-related products, such as specialised tools or wellness products, to sell to clients and practitioners.

Certified reflexologists can choose to work full-time or part-time, and they often have the flexibility to create a career path that aligns with their interests and goals. Building a strong client base and continuously improving their skills through continuing education can lead to a successful and fulfilling career in reflexology.

Yes! There are a number of associations you are able to join as a reflexologist in the UK. We've included a list of recommended associations below.

  1. The Federation of Holistic Therapists (FHT): FHT is one of the leading professional associations for complementary therapists in the UK. They offer support, training, and insurance for practitioners in various disciplines. You can find more information on their website at www.fht.org.uk.
  2. The CThA, or the Complementary Therapists' Association, is a professional association for complementary and holistic therapists in the UK and Ireland. It was established to provide support, guidance, and resources for individuals working in the field of complementary and alternative therapies. You can find out more information at their website www.ctha.com 
  3. Association of Reflexologists (AoR): The Association of Reflexologists is one of the largest and most well-known reflexology associations in the UK. They provide support and resources for reflexologists, including training and continuing professional development opportunities. Students can only join the AOR when studying the Saturdays course due to their joining requirements. Their website is www.aor.org.uk.
  4. Complementary and Natural Healthcare Council (CNHC): The CNHC is the regulatory body for complementary healthcare practitioners in the UK, including reflexologists. Being registered with CNHC demonstrates a high level of professionalism and adherence to established standards and gives you access to work in the NHS. Their website is www.cnhc.org.uk.