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Board of Audiology and Speech-Language Pathology
Applications & Forms

Audiologists and Speech-Language Pathologists

Checklist and application for a full license (allows practice in the school and private settings)

Checklist and application for a Provisional License

 

School Speech-Language Pathologists

Checklist and application for a school speech-language pathologist (allows practice in the public school setting only)

Checklist and application for a school speech-language pathologist with Virginia Board of Education Endorsement (holds a current active endorsement from the Virginia Department of Education)

 

Reinstatement of Licensure

Checklist and application for reinstatement of licensure as an audiologist, speech-language pathologist and school speech-language pathologist

Checklist and application for reinstatement of an inactive license to a current active license

Other forms