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 Audiologist License (new graduates only)
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.
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 an expired license as an audiologist, speech-language pathologist and school speech-language pathologist
Reactivation of Licensure
- Applicant Licensure Verification Form
- Employment Verification Form
- Continuing Education Reporting Form
- Continuing Education (CE) Credit Form for Volunteer Practice
- Request for verification of a Virginia License Form
A Virginia licensee seeking to obtain a verification of his/her license, certification, or registration at no cost may do so by directing a board, employer, insurance provider or other interested parties to License Lookup. This content resource meets the accreditation standards for primary source verification from the top seven-accreditation organizations for healthcare professionals.
- Request for Address/Name Form
- Volunteer Practice Sponsor Form
- Application for Registration for Volunteer Practice