Board of Audiology and Speech-Language 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 ASHA or 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
Audiology Provisional License to Full Audiology License
Checklist for Provisional to Full Audiologist Licensure
Application to change from a Provisional to Full Audiologist License
Audiology License by Endorsement
Checklist for Audiology Applicants by Endorsement
Application for License to Practice Audiology by Endorsement
Audiology Provisional by Endorsement
Checklist for Audiology Provisional License by Endorsement
Application for Audiology Provisional License by Endorsement
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 - rev. 08/27/2007
Application
for Licensure as a School Speech-Language Pathologist - rev. 11/05/2007
Speech-Language Pathology by Endorsement
Checklist for Speech-Language Pathology Applicants by Endorsement
Application for License to Practice Speech-Language Pathology by Endorsement
Reinstatement Forms
Checklist for Reinstatement of License to Practice as an Audiologist or Speech-Language Pathologist
Reinstatement Application for Inactive to Active License - rev. 11/2007
Continuing Competency Forms
Continuing Competency Activity and Assessment Form - includes instructions
Application for approval as a Continuing Competency Sponsor