Audiologist Full License Application

Please upload electronic copies of your application and all supporting documents.


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


Use the link the below complete an AUD Full 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.

AUD Full Application



The application fee can be paid via credit card using the link below. Please upload a copy of the receipt once paid. Please make sure to either take a screenshot of the receipt on your screen or download it as a pdf, please also check your email for a copy.

AUD Full 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

Application ( PDF's ONLY. Upload the application as one file. DO NOT Submit each page separately), Copy of 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.

Please make a payment using the link below. Once complete please upload a copy of your receipt and check the box below. AUD Application Fee


Submit Payment

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

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

Instructions can be found using the link below. Please ensure the privacy rights form is signed and uploaded above.


Background Check Instructions


Out-of-State Fingerprint Card Request

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Check once a copy of your official transcript has been uploaded in the field above. (If ASHA or AAA certified an official transcript is not required. Please check the box below to continue with submitting your application)

Check once a copy of your AS3 has been uploaded in the field above.

Check once a copy of your ASHA Verification has been uploaded in the field above.

If CCC-A was granted over 5 years ago, please upload a copy of your resume. Check once resume has been uploaded.

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

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