Forms

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Speech-Language and Audiology Licensure Applications

Audiologist with Endorsement to Dispense Hearing Aids [DOC]
Clinical Fellow Year (CFY) [DOC]
Speech-Language Pathology/Audiology [DOC]
Temporary Paraprofessional License as an Apprentice in Speech-Language (ASL)

Hearing Aid Licensure Applications

Hearing Aid Dispenser
Hearing Aid Dispenser Trainee
Audiologist/Otolaryngologist Requesting the Endorsement to Dispense Hearing Aids [DOC]

License Renewal Applications

Audiologist Renewal Form
Audiologist-SLP Dual Renewal Form
Endorsement to Dispense Renewal Form
Hearing Aid Dispenser Renewal Form
Speech Language Pathologist Renewal Form

Other Forms

Continuing Education Approval [DOC]
Electronic Data Affidavit