Get the free SLP-Limited-License-Renewal-Form - dhmh maryland

STATE OF MARYLAND DHH Maryland Department of Health and Mental Hygiene 4201 Patterson Avenue Baltimore, Maryland 21215 Martin O Malley, Governor Anthony G. Brown, Lt. Governor Joshua M. Charlatan,

How to fill out slp-limited-license-renewal-form - dhmh maryland

How to fill out slp-limited-license-renewal-form - dhmh maryland:

1. Obtain the form: The slp-limited-license-renewal-form can be obtained from the Maryland Department of Health and Mental Hygiene (DHMH) website or by contacting their office directly.
2. Provide personal information: Fill in your full name, address, contact number, and email address. Ensure that the information is accurate and up-to-date.
3. Indicate license type: Specify the type of limited license you hold as an SLP (Speech-Language Pathologist). This could include a limited license for supervision, clinical fellowship, or a specified number of hours.
4. Licensing information: Enter your license number and the date of issuance. If your license has changed since your last renewal, provide the updated information.
5. Continuing education credits: Maryland requires SLPs to complete a specific number of continuing education credits to renew their limited license. Provide details of the courses or workshops you have attended to fulfill this requirement.
6. Work experience: Outline your employment history as it pertains to your work as an SLP. Include the names of employers, dates of employment, and a brief description of your job responsibilities.
7. Signature and date: At the end of the form, sign and date it to certify that the information provided is accurate to the best of your knowledge.
8. Submit the form: Once the form is completed, submit it to the DHMH by the specified deadline. This may involve mailing it or submitting it online, depending on the options provided.

Who needs slp-limited-license-renewal-form - dhmh maryland?

1. Speech-Language Pathologists (SLPs) in Maryland are required to complete the slp-limited-license-renewal-form as part of the license renewal process. It is necessary for those who hold limited licenses for supervision, clinical fellowship, or a specified number of hours.
2. Additionally, SLPs who wish to continue practicing in Maryland and maintain an active limited license need to fill out this form to demonstrate their compliance with continuing education requirements and provide updated licensing and employment information.

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What is slp-limited-license-renewal-form - dhmh maryland?

SLP limited license renewal form is a form used by Speech-Language Pathologists (SLPs) in Maryland to renew their limited license provided by the Department of Health and Mental Hygiene (DHMH).

Who is required to file slp-limited-license-renewal-form - dhmh maryland?

Speech-Language Pathologists (SLPs) holding a limited license in Maryland are required to file the slp-limited-license-renewal-form with DHMH.

How to fill out slp-limited-license-renewal-form - dhmh maryland?

SLPs can fill out the form by providing their personal information, license number, continuing education credits, and any other required information specified on the form.

What is the purpose of slp-limited-license-renewal-form - dhmh maryland?

The purpose of the form is to ensure that SLPs in Maryland maintain an active and valid limited license to practice in the state.

What information must be reported on slp-limited-license-renewal-form - dhmh maryland?

SLPs must report their personal information, license number, continuing education credits completed, and any other required information requested on the form.

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