Board of Audiologists, Hearing Aid Dispensers & Speech Language Pathologists

Martin O'Malley, Governor  Anthony G. Brown, Lt. Governor   John M. Colmers, Secretary
 

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Licensure Forms

The files listed in the linked pages below are in portable document format (pdf).  To view pdf documents, you must have a .pdf reader, such as Adobe Acrobat Reader ® 5.0 (or newer).  Select the following URL to retrieve & download Adobe Reader. 

Title PDF
Audiology Application for Full Licensure  New Information This is a PDF document. Adobe Acrobat download is required to view PDF documents.
Audiology Application for Limited Licensure  New Information This is a PDF document. Adobe Acrobat download is required to view PDF documents.
Speech-Language Pathology Application for Full Licensure  New Information This is a PDF document. Adobe Acrobat download is required to view PDF documents.
Speech-Language Pathology Application for Limited Licensure New Information This is a PDF document. Adobe Acrobat download is required to view PDF documents.
Speech-Language Pathology Limited License Renewal This is a PDF document. Adobe Acrobat download is required to view PDF documents.
Speech-Language Pathology Assistant Licensure New Information This is a PDF document. Adobe Acrobat download is required to view PDF documents.
Application for Hearing Aid Dispenser Examination or Hearing Aid Limited License Examination  New Information This is a PDF document. Adobe Acrobat download is required to view PDF documents.
Application For Waiver of Hearing Aid Dispenser Examination  New Information This is a PDF document. Adobe Acrobat download is required to view PDF documents.
Hearing Aid Dispenser Limited License Renewal  This is a PDF document. Adobe Acrobat download is required to view PDF documents.
Lost License Form for Audiogists, Hearing Aid Dispensers and Speech-Language Pathologists This is a PDF document. Adobe Acrobat download is required to view PDF documents.

 

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 Updated 03/26/2008