DHP Home > Boards > ASLP > Practitioner Resources > Forms

Forms

Audiologists

Checklist and application for a full Audiologist license

Checklist and application for a Provisional Audiologist License (new graduates only)

Speech-Language Pathologists

Before begining an initial application, please see our Application Wizard for details.

Checklist and application for full Speech-Language Pathologist License (allows practice in the school and private settings)

Application for a license to practice as a Provisional Speech-Language Pathologist (new graduates only) are now accepted online. Click here to begin the online application process.

Instructions for Provisional Licensure as a Speech-Language Pathologist

School Speech-Language Pathologists

Before begining an initial application, please see our  for details.

Application for School Speech-Language Pathologist (allows practice in the public school setting only)

Reinstatement of Licensure

Checklist and application for reinstatement - reinstatement of an expired Virginia license as an audiologist, speech-language pathologist and school speech-language pathologist

Reactivation of Licensure

Checklist and application for reactivation of a license - reactivation of an inactive Virginia license as an audiologist, speech-language pathologist and school speech-language pathologist