E-Mail: wvbeslpa@wv.gov
Phone: 304-473-4289 Fax: 304-473-4291 In State Toll Free: 877-462-5460 Mailing Address: West Virginia Board of Examiners for Speech-Language Pathology & Audiology 99 Edmiston Way Box 11, Suite 214 Buckhannon, WV 26201
Initial Application for SLP and AUD
Military Family Initial Licensing Fee Waiver Application
Low-Income Family Initial Licensing Fee Waiver Application
Application Instructions - All Licenses
Renewal Application *NEW*
Change of Name/Address/Employment Form
Consumer Complaint Form
Application for a Trainee Permit or Dispenser License
Renewal Application for Dispenser License and Trainee Permit
Application for Company License
Renewal Application for Compnay License
Hearing Aid Dealer FAQ
Military Family Waiver Initial Licensing Fee Waiver Application
Hearing Aid Dealer Rule 8-4-1 Application for Waiver of Initial License Fee for Certain Individuals
Change of Name/Address/Employment form
Provisional License Application
Postgraduate Professional Experience Agreement-revised.pdf
PPE Supervision Report.pdf
PPE Contacts Log.pdf
Speech-Language Pathology Assistant Log Sheet
Speech-Language Pathology Assistant Registration Form
Audiology Assistant Registration Form
CE Course Completion
Request for Board Approval of Continuing Education