Forms Page

Initial License Application for first time applicants seeking a license in Nevada. Please read licensure instructions prior to completing application as additional documentation is required. [PDF file ~ 348Kb]

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New 15 day license for SLP’s or AuD’s who will be using clients/patients for demonstration purposes at a conference, seminar or other educational setting. [PDF file ~ 166Kb]

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Application to Convert from a Provisional Hearing Aid Specialist to a Standard Hearing Aid Specialist License upon obtaining NBC-HIS Certification [PDF file ~ 150 Kb]

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Application to Convert Apprentice License to Standard Hearing Aid Specialist License and to Request to schedule examinations required for conversion to a Standard license.  Application can be submitted 6 months prior to the end of the 2 year apprenticeship period in order to schedule the required examinations. [PDF file ~ 247Kb]

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Hard copy Standard or Provisional license renewal form for those who do not choose to renew on-line.  Documentation of 15 hours of continuing education must be submitted with a hard copy renewal application.  Renewal Applications may be submitted 60 days in advance of license expiration date. [PDF file ~ 125Kb]

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Information on types of licenses, instructions and documentation requirements; includes Hearing Aid Specialists and Apprentices and new Provisional License for SLP-CFY and new Dispensing Audiologist endorsement. [PDF file ~ 418Kb]

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Information on the in-service training program under the direct supervision of a Sponsor. [PDF file ~ 164Kb]

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Fees are effective July 1, 2015 as approved by Board action on June 27, 2015.

Hearing Aid Board renewal fees remain in affect for the current renewal period including the late renewal fee of $100 if license is not renewed by June 30, 2015. [PDF file ~ 138Kb]

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Governor’s Application for Appointment to a Board or Commission. Application must be submitted directly to the Governor’s Office. Information can be obtained on the application process through the State website: http://gov.nv.gov/Boards/Vacancies/ [PDF file ~ 610Kb]

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If your license has been expired more than 30 days but less than 3 years, you are eligible for license reinstatement. Please read instructions as additional documentation is required. [PDF file ~ 383Kb]

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If you believe a violation of the law or regulations has or may occur, report those actions by completing the Complaint Form. A medical release is required to obtain confidential client/patient information. [PDF file ~ 189Kb]

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