NC Board of Examiners for SLPA

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SLP Assistant

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Download Registration Form

SLP Assistant Protocol Form - Required Effective August, 2014
Please download this required form:

SLP Assistant Protocol Form Word Version

SLP Assistant Form PDF Version

SLP Assistant Registration Fee - $40.00

Download Renewal Form

Annual Renewal Fee - $40.00

Supervision Change Fee - $20.00

In order for your registration or renewal to be processed when paying online, the completed Registration or Renewal Form must be received in the Board Office.

Payments (include a $2.00 Convenience Charge to cover Pay Pal Charges)
License Number
Licensee/Applicant Name



PO Box 16885
Greensboro, NC 27416-0885

Telephone (336) 272-1828
Fax (336) 272-4353

Denise Brown, Executive Director -
Courtney Willingham, Investigations & Registrations Facilitator -
Kate Young Maffeo, Administrative Services Coordinator -