Prior Approval of a Continuing Education Program- Individual Participation

This form must be completed by licensees seeking approval of a continuing education program from the Maryland Board of Examiners for Audiologists, Hearing Aid Dispensers and Speech-Language Pathologists. Continuing education programs must relate to the theory and/or practice of audiology, speech-language pathology, hearing aid dispensing or related areas. Applications may not be submitted via fax. Applications may be submitted no later than 30 days before or after the program. You will receive a response via email. If a program is sponsored by ASHA, AAA, MSHA,MAA, IHS or CBMT the program is automatically approved by the Maryland Board of Examiners for Audiologists, Hearing Aid Dispensers, Speech-Language Pathologists and Music Therapists, and this form is not necessary. Please contact Keena Stephenson, Executive Director via email at keena.stephenson1@maryland.gov if you have any questions!

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(If Any)

Upload of copy of the Following: 1. Copy of the program, timed agenda and/or pamphlet 2. Copy of the evaluation form to be used by the attendees 3. Copy of certificate obtained for completing the course

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