Speech Language Pathologist and Audiologist Application Instructions and Forms

Licensing Information

Go to the specific license in Minnesota Department of Health Licensing System then log-in to your account, complete the application and make payment.

• Audiologist
• Speech Language Pathologist
• Clinical Fellowship (Speech-Language Pathologist) or Doctoral Externship (Audiologist)
• Temporary ASHA/ABA

Forms

• Affirmation Clinical Fellowship or Doctoral Externship License Speech Language Pathologist/Audiologist
• Speech-Language Pathologist and/or Audiologist Supervised Postgraduate Clinical Experience, Supervised Audiologist Program Clinical Experience
• Speech-Language Pathologist and/or Audiologist Supervised Graduate Clinical Experience, Supervised Doctoral Clinical Training Experience
• Supervisor Form Temporary Audiologist - Dispenses Hearing Instruments

School Speech-Language Pathologists

Individuals applying as a speech-language pathologist who will be working in a school will need to contact the Minnesota Professional Licensing and Standards Board (PELSB) for licensing procedures.

Per Minnesota Statutes, section 148.511 – sections 148.511 to 148.5198 do not apply to school personnel licensed by the Professional Educator Licensing and Standards Board and practicing within the scope of their school license under Minnesota Rules, part 87100.6000, or the paraprofessionals who assist these individuals.

Background Checks

New applicants are required to pay a fee to the Department of Human Services (DHS) for an online applicant background study. Instructions for completing the background study can be accessed at Applicant Background Study Instruction Form (PDF). We recommend applicants for an SLP or AUD license mail their application to MDH and start the online background study process on the same day.

One-time Processing Fee for New Applicants

Effective October 1, 2018, all individuals applying for initial licensure, temporary licensure or re-licensure as a speech-language pathologist or audiologist must pay a one-time fee to process a criminal background check. This fee is in addition to the license application fee and authorized by Minnesota Statutes, section 148.5194.

Applicants must pay a one-time processing fee in addition to the application fee. The one-time processing fee is as follows:

• Speech Language Pathology: $10.50
• Audiology: $13.00
• Dual Audiology/Speech Language Pathology: $13.00

Applicants Must Undergo a Background Check After a Lapse in Licensure

You must complete a criminal background check if more than one year has elapsed since you last applied for a license as required by Minnesota Statutes, section 148.519.

This process can take up to three weeks or longer. Submit both the applicant background study and licensing applications around the same time. Your full license application should be submitted at least sixty days before the expiration of your temporary license, so that there is not a lapse in your licensed status.