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
Initial Registration for Interstate Telepractice
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 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