Board of Audiology and Speech Pathology
Applications & Forms
The below documents are in Microsoft Word format. If you do not have Microsoft Word, you can get the Microsoft® Word Viewer 97/2000 to view and print DHP's documents.
Audiology Applicants Only
ASHA (American Speech-Language-Hearing Association) or ABA (American Board of Audiology)
Checklist for Audiology Applicants by ASHAor ABA
Application for a License to Practice Audiology
Audiology Provisional License
Checklist for Applicants Requesting Provisional License to Practice Audiology
Application for a Provisional License to Practice Audiology
Speech-Language Pathology Applicants Only
Education
Checklist for Applicants by Education
Application for a License to Practice Speech-Language Pathology by Education
ASHA (American Speech-Language-Hearing Association)
Checklist for Applicants by ASHA Certification
Application for a License to Practice Speech-Language Pathology by ASHA Certification
School Speech-Language Pathology
Checklist for School Speech-Language Pathologist Application
Application for Licensure as a School Speech-Language Pathologist
Reinstatement Forms
Checklist for Reinstatement of License to Practice as an Audiologist or Speech-Language Pathologist
Reinstatement Application for License to Practice as an Audiologist or Speech-Language Pathologist
Checklist for Reinstatement of License to Practice as a School Speech-Language Pathologist
Reinstatement Application for License to Practice as a School Speech-Language Pathologist
Reinstatement Application for Inactive to Active License
Continuing Competency Forms
Continuing Competency Activity and Assessment Form - includes instructions
Application for approval as a Continuing Competency Sponsor