Application Forms and Publications
ONE YEAR (1) ABANDONMENT OF APPLICATIONSPursuant to HRS §436B-9 Your application shall be considered abandoned, will be destroyed, if you fail to complete the license process within one year after filing the application, or fail to take and pass the examination after becoming eligible to take the examination. If an application is deemed abandoned the applicant shall be required to reapply for licensure and comply with the licensing requirements at the time of the reapplication. |
Speech Pathologist or Audiologist License
- Requirements and License Application Form
(License by examination or provisional license) - Verification of Clinical Fellowship Supervisor
(ONLY FOR PROVISIONAL LICENSE) - Clinical Fellowship Verification
(ONLY FOR LICENSURE BY EXAMINATION) - Verification of Coursework
(ONLY FOR LICENSURE BY EXAMINATION) - License Verification Form (SP-10)
- Requirements and License Application Form
(Licensure by ASHA or ABA Certification of AuD Degree)
- Requirements and License Application Form
(To register temporary services)
- Requirements and License Application Form
Temporary license to practice for the duration of the active-duty military member’s service in Hawaii.