Skip to main content
scroll to top
A A A Change Text Size
Change Site Language
Search The Site
CLOSE
CLOSE
Powered by: Google Translate
Reset Language to English
CLOSE
Home
New Hampshire
Office of Professional Licensure and Certification
New Hampshire state seal

Main navigation

  • OPLC Home
  • About Us
  • The Boards
  • Licensing
  • License Search
  • Report Non-Compliance
  • Laws and Rules
  • OPLC Home
  • Speech Language Pathology and Hearing Care Providers Governing Board Forms and Documents

Speech Language Pathology and Hearing Care Providers Governing Board Forms and Documents

Forms and Documents for Speech Language Pathology and Hearing Care Providers

Speech Language Hearing Home

  • Letter of License Verification
  • Name Change Request Form
  • How to Update Your Contact Information Online
  • How to Obtain a Criminal Background Check

 

  • Clinic Fellowship (SLPCF) Report & Rating Form
  • Supervision Form - Occupational Therapy, Speech-Language Pathology and Physical Therapy
  • Supervised Practice Plan Form for Audiologists
  • Supervised Practice Plan Form for Hearing Care Providers

Speech Language Hearing Home

Home
New Hampshire
Office of Professional Licensure and Certification
7 Eagle Square | Concord, NH | 03301
(603) 271-2152 | TDD Access: Relay NH 1-800-735-2964

Footer - Agency Links

  • Contact Us
  • Enforcement
  • Annual Report
  • Laws and Rules
  • FAQs

Footer - State Links

  • COVID-19 Resources
  • NH Government Careers
  • NH Travel & Tourism
  • NH Web Portal - NH.gov
  • ReadyNH.gov
  • Transparent NH
© 2022 State of New Hampshire • All rights reserved
  • Accessibility Policy
  • Privacy Policy
An official NEW HAMPSHIRE government website