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Speech-Language Pathology Assistant Checklists

Remit Payment to OBESPA 3700 N Classen Blvd Ste 248 Oklahoma City, OK 73118 Please Do Not Send Cash! 

Licensure for SLPA

  1. Completed Application
  2. Passport Photo
  3. Application Fee of $85.00
  4. Citizenship Affidavit
  5. Clinical/Academic Requirement Form
  6. Supervisor Letters of Agreement
  7. Official Transcripts
  8. Background Check from Trak-1
  9. Supervisors 6 hours of CEU Training

Licensure with Current ASHA CCCS

  1. Completed Application
  2. Passport Photo
  3. Application Fee of $85.00
  4. Citizenship Affidavit
  5. Copy of Current ASHA card & Verification letter from ASHA
  6. Supervisor Letters of Agreement
  7. Official Transcripts
  8. Background Check from Trak-1
  9. Supervisors 6 hours of CEU Training

Licensure from Another State

  1. Completed Application
  2. Passport Photo
  3. Application Fee of $85.00
  4. Citizenship Affidavit
  5. License Verification Letter from Current State
  6. Copy of Licensure Rules from Current State
  7. Copy of Licensure Card from Current State
  8. Clinical/Academic Requirement Form
  9. Supervisor Letters of Agreement
  10. Official Transcripts
  11. Background Check from Trak-1
  12. Supervisors 6 hours of CEU Training 
Last Modified on Oct 16, 2023
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