Forms and Resources


Licensure Forms


Application For Practice via Telehealth

Supervision Agreement Form

Supervision Form 100

Supervision Form 200 - weekends shaded 2023-2024

Supervision Form 200 - weekends shaded 2024-2025 

Affidavit In Lieu of Supervision

Other Forms

CE Flyer

CE Pre-Approval Request

CE Requirements

Code of Ethics


Fact Sheet on Certification vs. Licensure

Mailing List Request

Provisional License Process Infographic

 *Verification of Licensure request forms can be found by logging into your licensee dashboard and clicking on Forms.



American Academy of Audiology (AAA)

American Speech-Language-Hearing-Association (ASHA)

Centers for Medicare & Medicaid Services

Identify the Signs of Communication Disorders

Louisiana Academy of Audiology (LAA)

Louisiana Department of Education: The Career Development Network for Louisiana Educators

Louisiana Speech-Language-Hearing Association (LSHA)

Louisiana State Department of Education

National Council of State Boards of Examiners for Speech-Language Pathology and Audiology (NCSB)

Speech Pathologists and Audiologists in LA Schools (SPALS)

Medicare and Medicare related information