Applications & Forms
- Hearing Aid Dealer
- Hearing Aid Dealer Trainee
- Speech-Language Pathologist
- Speech-Language Pathology Assistant (Registration)
- Temporary Audiologist
- Temporary Speech-Language Pathologist
- CEU reporting form
- Termination of Supervision Form (for Supervisors of Speech-Language Pathology Assistants)
- Change/Add Supervision Form for Trainee
- Sample Purchase Agreement
- License Verification Request Form
- Credit Card Authorization Form
To authorize payment of fees by Visa or MasterCard.
Do you have questions? Email the Board.
Last Updated: January 2, 2019