Forms and Resources

Licensure Forms

*Please expect an additional 2-3 weeks processing time for all applications that are mailed in.

Application For Speech-Language Pathologist or Provisional Speech-Language

Application For Speech-Language Pathology Assistants or Provisional Speech-Language Pathology Assistants

Application For Audiologist

Application For Practice via Telehealth

Supervision Agreement Form

Supervision Form 100

Supervision Form 200

Supervision Form 200 - weekends shaded



Other Forms


CE Pre-Approval Request

Code of Ethics (Modified Format for Training Purposes)

Fact Sheet on Certification vs. Licensure

Mailing List Request

Provisional License Process Infographic



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