REGULATIONS
Vol. 27 Iss. 25 - August 15, 2011

TITLE 18. PROFESSIONAL AND OCCUPATIONAL LICENSING
BOARD OF AUDIOLOGY AND SPEECH-LANGUAGE PATHOLOGY
Chapter 20
Forms

Title of Regulation: 18VAC30-20. Regulations Governing the Practice of Audiology and Speech-Language Pathology.

Agency Contact: Elaine J. Yeatts, Agency Regulatory Coordinator, Department of Health Professions, 9960 Mayland Drive, Suite 300, Richmond, VA 23233, telephone (804) 367-4688, FAX (804) 524-4434, or email elaine.yeatts@dhp.virginia.gov.

NOTICE: The following forms used in administering the regulation were filed by the agency. The forms are not being published; however, online users of this issue of the Virginia Register of Regulations may click on the name to access a form. The forms are also available through the agency contact or at the Office of the Registrar of Regulations, General Assembly Building, 2nd Floor, Richmond, Virginia 23219.

FORMS (18VAC30-20)

Application for Audiology License by ASHA or ABA Certification (rev. 6/08).

Application Checklist for Audiology License by ASHA or ABA Certification (rev. 5/08).

Application for a License to Practice Audiology by Endorsement (eff. 5/09).

Application Checklist for Applicants by Endorsement - Audiology (eff. 5/09).

Application for Provisional Licensure to Practice Audiology (rev. 9/07).

Application Checklist for Applicants Requesting Provisional Licensure (rev. 9/07).

Application for Provisional Audiologist to Apply for Full Audiology License (rev. 7/08).

Application Checklist for Provisional Applicants Requesting Full Audiologist Licensure (eff. 8/08).

Application for a License to Practice Speech-Language Pathology by Education (rev. 9/07).

Application Checklist for Applicants by Education (rev. 9/07).

Application for a License to Practice Speech-Language Pathology by ASHA Certification (rev. 5/08).

Application Checklist for Applicants by ASHA Certification (rev. 5/08).

Application for a License to Practice Speech-Language Pathology by Endorsement (eff. 5/09).

Application Checklist for Applicants by Endorsement - Speech-Language Pathology (eff. 5/09).

Application for a License to Practice as a School Speech-Language Pathologist (rev. 7/07).

Application Checklist for Applicants for School Speech-Language Pathology License (rev. 8/07).

Application for Reinstatement of License to Practice (rev. 11/07).

Reinstatement Application Checklist for Audiology and Speech-Language Pathology (rev. 8/08).

Application for Reinstatement of School Speech Language Pathology License (rev. 11/07).

Reinstatement Application Checklist for School Speech-Language Pathologists Applicants (rev. 8/07).

Application for Reinstatement of Inactive License to Practice (rev. 11/07).

Continued Competency Activity and Assessment Form (rev. 7/07).

Application for Approval as a Continuing Competency Sponsor (rev. 7/07).

Application for Audiology License by ASHA/ABA Certification (rev. 6/10).

Audiology Application Checklist by ASHA/ABA (rev. 7/10).

Audiology Application for Licensure by Endorsement (rev. 6/10).

Audiology Endorsement Application Checklist (rev. 8/10).

Application for Provisional License to Practice Audiology (rev. 6/10).

Audiologist Provisional Application Checklist (rev. 7/10).

Application for Provisional Audiologist to Apply for Full Audiology License (rev. 6/10).

Application Checklist for Provisional to Full Audiologist License (rev. 7/10).

Application for Speech-Language Pathology by Education (rev. 6/10).

Speech-Language Pathology Application Checklist by Education (rev. 7/10).

Application for Speech-Language Pathology by ASHA Certification (rev. 6/10).

Speech-Language Pathologist Application Checklist by ASHA Certification (rev. 7/10).

Speech-Language Pathologist Application for Licensure by Endorsement (rev. 6/10).

Speech-Language Pathologist Endorsement Application Checklist (rev. 9/10).

Application for a License as a School Speech-Language Pathologist (rev. 6/10).

School Speech-Language Pathologist Application Checklist (rev. 7/10).

Reinstatement Checklist and Application for an Expired License (rev. 6/10).

Application for Reinstatement of and Checklist for an Inactive Current License (rev. 7/10).

Continued Education Form (rev. 6/10).

Application for Approval as a Continuing Education Sponsor (rev. 7/10).

VA.R. Doc. No. R11-2942; Filed July 27, 2011, 1:48 p.m.