Speech-Language Pathologists Assistant Limited License Application

Please upload electronic copies of your application and all supporting documents. Please review the minimum requirements for this license at COMAR 10.41.11.03.


For application status updates or questions about the application process please email mdh.boardofahsm@maryland.gov


Use the link below to complete a SLPA Limited application. Please be sure to include either a physical wet signature or an e-signature. Applications without a signature will be considered incomplete. Please upload your signed application and supporting documents in the attachment field box.

SLPA - Limited License Application


The application fee can be paid via credit card using the link below. Please upload a copy of the receipt once paid.

SLPA-Limited Application Fee


Applicants will be sent a link to complete the required law exam electronically. Please use the statute and regulations links under the Regulations tab to complete the Law Exam. A completed Law Exam must be on file for an application to be considered complete.​


Frequently Asked Questions

Check this box only if you have completed an approved Implicit Bias Course. If you are not sure, please use the link provided.


https://health.maryland.gov/boardsahs/Documents/Implicit%20bias%20updated%20training.pdf

Supervisor(s) of limited licensee during limited licensure.


All proposed supervisors will be checked to ensure they're in good standing. Any supervisors not in good standing will not be approved.

The site(s) where the limited licensee will be practicing.

Application ( PDF's ONLY. Upload the application as one file. DO NOT Submit each page separately), Copy of Check/Payment, AS3, Resume, Transcript, ASHA

Drag and drop files here or

Check once a copy of your application & a passport sized photo has been uploaded in field above.

Check once a copy of the signed Background Check Privacy Rights Form has been uploaded above. In State sign the last page of the document below.


Privacy Rights Act Form

Please make a payment using the link below. Once complete please upload a copy of your recent and check the box below. SLPA-Limited Application Fee


Submit Payment

Please enter the transaction number from your payment receipt before you upload the receipt.

Instructions can be found using the link below.


Background Check Instructions


Out-of-State Fingerprint Card Request

Select or enter value
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Check once a copy of your official transcript has been uploaded in the field above.

Required if you have an associate degree in Allied Health Field Check once a copy of your SA2 has been uploaded in the field above.

Required if Clinical hours have been completed in an educational institution. Check once a copy of your SA3 has been uploaded in the field above.

Required is Clinical hours have not been completed. Check once a copy of your SA4 has been uploaded in the field above.

Verification of Clinical hours completed outside of educational institution. Check once a copy of your SA5 has been uploaded in the field above.

Supervisor Delegation Agreement Check once a copy of your SA6 has been uploaded in the field above.

Check once a copy of your license affidavit from all states in which you are licensed have been uploaded.

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