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Virginia Administrative Code
Title 18. Professional And Occupational Licensing
Agency 30. Board of Audiology And Speech-Language Pathology
Chapter 21. Regulations Governing Audiology and Speech-Language Pathology
11/12/2024

FORMS (18VAC30-21).

Instructions/Checklist for Completing an Application to Practice as an Audiologist (Includes Provisional for Reentry into Practice) (rev. 3/2023)

Instructions/Checklist for Application for Provisional License to Practice as an Audiologist (New Graduates Only) (rev. 3/2023)

Instructions/Checklist for Completing an Application to Practice as a Speech-Language Pathologist (Includes Provisional for Reentry into Practice) (rev. 3/2023)

Instructions/Checklist for Completing an Application to Practice as a School Speech-Language Pathologist (rev. 3/2023)

Instructions/Checklist for Reinstatement of an Expired License (rev. 3/2023)

Instructions/Checklist for Reactivation of a Current Inactive License (rev. 3/2023)

Request for Verification of Out-of-State License (rev. 6/2020)

Employment Verification (rev. 6/2020)

Continuing Education Reporting Form (rev. 6/2020)

Continuing Education (CE) Credit Form for Volunteer Practice (rev. 6/2020)

Request for Verification of a Virginia License (rev. 6/2020)

Name/Address Change Form (rev. 6/2020)

Sponsor Certification for Volunteer Registration (rev. 6/2020)

Application for Registration to Volunteer Practice (rev. 6/2020)

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