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​Applications and Forms


APPLY ONLINE for all license types:

Speech-Language Pathology and Audiology Assistant
Provisional Licensure as an Audiologist
Provisional Licensure as a Speech-Language Pathologist
Speech-Language Pathology by Education
Speech-Language Pathology by Experience (CFY)
Speech Langugage Pathology by Examination (Praxis)
Audiologist by Education
Audiologist by Examination
Licensure by​ Reciprocity
Reactivation of Expired/Inactive License
Individual Continuing Education Approval
Continuing Education Provider/Sponsor for Courses and Programs
 The Continuing Education applications have been moved to an online process at​.​ Once logged into your account, click the "Request" button next to your license to apply for the individual continuing education approval. To apply as a provider/sponsor of courses/programs please log into your account and select the "Request Approval" button at the bottom of your dashboard page to apply.


Name and/or Address Change

Verification of licensure to another state - request online by logging into your account and clicking "Request" next to your license number.
ONLINE NOTE:  As a result of document fraud and in an effort to protect its licensees, the Board will only provide direct source verification of your license to another state licensing agency.

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