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Board of Speech, Audiology and Hearing - Applications & Forms

Applications

• Audiologist
• Speech-Language Pathologist
• Temporary Speech-Language Pathologist or Audiologist
• Speech-Language Pathology Assistant (Registration)
• Hearing Aid Dealer
• Hearing Aid Dealer Trainee

Forms

• Supervision Form for Temporary Licensees
• Supervision Form for Trainee Hearing Aid Dealer and Fitters
• Sample Purchase Agreement
• Credit Card Authorization Form
  To authorize payment of fees by Visa or MasterCard.

 

If you cannot find what you are looking for, click HERE to send an e-mail message to the Board of Speech, Audiology & Hearing.

Last Updated: April 1, 2013

About This Board

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Events

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CONTACT US

• Board of Speech, Audiology & Hearing
• 35 State House Station
• Augusta, ME 04333-0035
• phone: (207) 624-8626
• fax: (207) 624-8637
• TTY users call Maine relay 711
• Program Staff

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