Advisory Commission for Speech-Lang Pathologists & Audiologists

Application Forms

For information related to the processing of your application, please contact:

Rachel Hatfield, Processing Technician II
licensure@pr.mo.gov
(573) 751-0171
Toll Free (866) 289-5755

If you would like to apply for a Missouri license to practice as a Speech-Language Pathologist and/or Audiologist, please click here.

If you would like to apply for Missouri Provisional licensure to practice Speech-Language Pathology or Audiology, please click here.

If you would like to apply for a Missouri license to practice as a Speech-Language Pathology Assistant, please click here.

If you have previously held a permanent Speech-Language Pathology license in Missouri that has lapsed and you wish to have it reinstated, please click here.

If you have previously held a permanent Audiology license in Missouri that has lapsed and you wish to have it reinstated, please click here.

If you have previously held a permanent Speech-Language Pathology/Audiology Combined license in Missouri that has lapsed and you wish to have it reinstated, please click here.

In order to provide access to our application forms from our website with the highest degree of compatibility, the applications are available in Adobe Acrobat format. To view the application forms, Adobe Acrobat Reader version 4.0 or later is required. If you do not have the reader or if you need a current version, it can be downloaded free of charge from Adobe by clicking the button at the bottom of this page. If you have a current version of the Adobe Acrobat Reader and still experience problems accessing the application, it is probably due to a slow Internet connection speed. To work around this problem, try to download the application directly to your computer. To do this, right click on the application link and click "save target as". This will allow you to save the application as a portable document file directly to the location of your choice on your computer. Once the file is downloaded, you can open it from that location. If you need additional assistance, please contact the board office at 573-751-0098.