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Application Forms

To apply for licensure as an:

  • Audiologist
  • Speech-Language Pathologist
  • Conditional Speech-Language Pathologist
  • Audiology Aide
  • Speech-Language Pathology Aide

Please visit the licensure portal at: https://elicense.ohio.gov/OH_HomePage

Browser Information: It is recommended that you use newer versions of Google Chrome, Safari or Firefox web browsers. Internet Explorer users, must use IE 11 or Edge to access the eLicense 3.0 system.

Application for Speech-Language Pathology or Audiology Aide

Conditional License for Professional Experience Options (CFY)

Forms Required for Professional Experience (Note: All forms for professional experience must be submitted via the Ohio eLicense portal at: https://eLicense.Ohio.gov). Step-by-step instructions are contained on the first page of each form, e.g., Plan, Amended Plan, and Report & Log.

Information for applicants graduating from programs outside of Ohio

The following is offered as a guide to facilitate reading the laws and rules regarding licensure requirements:

I.    Application - OAC 4753-3-01
II.   Education - ORC 4753.06 (A) (B) & OAC 4753-3-04
III.  Clinical Experience - ORC 4753.06(C), 4753.12(D) & OAC 4753-3-05
IV.   Professional Experience - ORC 4753.06(D), 4753.071, 4753.12(E) & OAC 4753-3-07
V.      Examination - ORC 4753.06(E) & OAC 4753-3-06
VI.     Fees - ORC 4753.11 & OAC 4753-5-01
VII.     Waivers of Requirements - ORC 4753.08(B) (C) & OAC 4753-3-01(D), 4753-3-05(A)
VIII.     Aides - ORC 4753.072 & OAC 4753-7-01, 4753-7-02, 4753-7-03
IX.         Code of Ethics - OAC 4753-9-01

 

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