Speech-Language Pathologist and Audiologist Temporary License:
Clinical Fellowship or Doctoral Externship

Instructions

Important things to know about the application process:

• It will take MDH one (1) to two (2) weeks to review your SLP/Aud temporary license application for approval.
• MDH will not begin the application review and approval process until we receive: 1) a completed and signed application; 2) all requested documentation; and 3) license fee payment.
• Any applications mailed 30 days after the date of signature on the application will be returned to you to confirm that information is still current.
• If a question on the application doesn’t apply to you, mark your answer as “N/A.”
• If you are approved for a temporary license, you will receive a letter in the mail from MDH confirming your licensure, along with your license card.

For Audiology Applicants Only:

• All applicants applying for full audiologist licensing must achieve a passing score on the practical exam for hearing instrument dispensing.
• If you have not taken and passed the examination for hearing instrument dispensing and you want to dispense instruments with a temporary license, you must be supervised by a licensed audiologist who is authorized to dispense hearing instruments. The supervisor must complete and sign Part II of the license application.
• Your supervisor must have passed the practical examination for hearing instrument dispensers, unless exempt under Minnesota Statute, section 148.515, subd. 6(c). If the audiologist that will be your supervisor is not authorized to dispense, you can only provide audiology services.
• For more information about the practical exam, contact Grace Rauchwarter at 651-201-4200 or at health.hid@state.mn.us.

Forms

Temporary License Application Form for Clinical Fellowship and/or Doctoral Externship (PDF)

Fees

Submit the fee listed below appropriate for your temporary license period.

For those who have not yet completed a Department of Human Services (DHS) criminal background check: a one-time processing fee is collected by MDH to cover costs associated with the DHS criminal background check. Background check fees paid to DHS are additional.

Clinical Fellowship (SLPs): $10.50
Doctoral Externship (AUDs): $13

A $30 fee will be assessed to insufficient funds payments. Applicant must resubmit with certified funds.

Questions

Any questions please call 651-201-4200 or email health.slpa@state.mn.us