This form must be completed by hospitals, clinics, interest groups, and proprietary organizations seeking approval of a continuing education program or activity by the Maryland Board of Examiners for Audiologists, Hearing Aid Dispensers, Speech-Language Pathologists and Music Therapists for lectures, workshops, conferences, and in-service programs. Continuing education programs must relate to the theory and/or practice of audiology, speech-language pathology, hearing aid dispensing or related areas. Of note: CEU programs approved by ASHA, MSHA, IHS, AAA and MAA are automatically approved and do not need to be submitted to the Board. Applications must be submitted at least 30 days prior to the program. You will receive a response via email. Applications may not be sent via fax. Approval by the Board entitles the sponsor to publish a statement such as: "This CE program has been approved by the Maryland Board of Examiners for Audiologists, Hearing Aid Dispensers, Speech-Language Pathologists and Music Therapists (1 CEU = 1 contact hour).” Please contact Keena Stephenson, Executive Director via email at keena.stephenson1@maryland.gov if you have any questions!

The provider of continuing education shall furnish a certificate of completion to all participants. The certificate shall include the: a. Name of provider; b. Name of participant; c. Description of program; d. Number of hours; and e. Date of completion. If the program is approved, the provider will provide the certificate of completion to all participants.