2012 LBESPA Printable Renewal Forms
Right-click the file links and select "Save-As" - Then open in Acrobat to fill in the forms.
ONLINE RENEWAL available through "Licensee Login"

License Type

Renewal Form

Audiology
Audiology H. A. Disp

Renewal

Restricted Audiology
Provisional Audiology with H. A. Disp

Renewal

Provisional SLP Assistant
SLP Assistant

Renewal

Restricted Speech-Language/Path
Provisional Speech-Language/Path

Renewal

Speech-Language Pathologist
 

Renewal

Dual Licensure
 

Renewal

MISSION STATEMENT:

We exist because the legislature declared that "in order to safeguard the public health, safety, and welfare, to protect the public from incompetent, unscrupulous, and unauthorized persons, and from unprofessional conduct by speech-language pathologists, audiologists, and speech-language pathology assistants, it is necessary to provide regulatory authority over persons offering speech-language pathology and audiology services to the public."