Board of Communication Disorders and Sciences
When completing the application process below, you will be required to submit an official transcript from the institution where you completed your education. The transcript must be mailed directly from the educational institution to the board office located at 665 Mainstream Drive, Nashville, TN 37243.
Applications
Applying for initial licensure from your professional licensing board has become a bit easier. For the past year, the Department of Health has been working on an online application process that will allow all health care professionals to apply online for an initial license and complete (and update as necessary) a practitioner profile mandatory for certain professions. The process is user friendly and convenient and even allows you to pay for your initial application utilizing a credit card, debit card or e-check. You will also be able to upload many of the documents required to complete your initial application! Please go to the initial application link below to begin the online process.
For mailing documents please send to: Board of Communication Disorders and Sciences; 665 Mainstream Dr; Nashville TN 37243
- SLPA Paper Change Form
- Registration for Clinical Fellowship Year or Audiology Clinical Externship (BF-5292)
- Clinical Fellow Provisional License/Audiology Clinical Extern Supervisor Registration Form
- Application for Licensure as a Speech Pathologist or Audiologist (PH-1275)
- Application for Upgrade from Clinical Fellow or Clinical Extern to Full License
- Audiology Clinical Extern (ACE) Change/Extension Form
- Clinical Fellowship (CF) Change/Extension Form
- Verification of Endoscopy Competency (PH-4176)
- Verification of Ability to Provide Supervision for Performing Endoscopy (PH-4186)
- Declaration of Citizenship (PH-4183)
- Declaration of Eligibility for Expedited Licensure Process for a Military Member (PH-4279)
- Declaration of Eligibility for Expedited Licensure Process for a Spouse of Military Member (PH-4280)
- Speech Pathology Assistant Registration Form (PH-3776)
- Name and Address Change Request (PH-3619)
- Reinstatement Application (PH-4049)
- Affidavit of Retirement From Practice in Tennessee (PH-3460)
- Mandatory Practitioner Profile Questionnaire for Licensed Health Care Providers (PH-3585)
- Out of State or other Profession Verification Form
- Criminal Background Check Instructions