Forms

Licensure Forms

Application For Practice via Telehealth

Supervision Agreement Form

SLP Form 100

Supervision Form 200

Supervision Form 200 - weekends shaded 2025-2026 

Supervision Form 200 - weekends shaded 2026-2027

Affidavit In Lieu of Supervision

 

Other Forms

CE Flyer

CE Pre-Approval Request (Non-Licensees)

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.