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 Contact

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


 Forms Minimize

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


 Provisional License Minimize

Provisional License Application

Military Family Initial Licensing Fee Waiver Application

Low-Income Family Initial Licensing Fee Waiver Application

Postgraduate Professional Experience Agreement-revised.pdf

PPE Supervision Report.pdf

PPE Contacts Log.pdf


 Assistant's Registration & Renewal Minimize

Speech-Language Pathology Assistant Log Sheet

Speech-Language Pathology Assistant Registration Form

Audiology Assistant Registration Form


 Continuing Education Minimize

CE Course Completion

Request for Board Approval of Continuing Education

 


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