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Rohno Geppert,
Program Manager
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Contact Us:
Division of Licensing
150 N. 18th Avenue,
Ste. 460
Phoenix, AZ 85007
(602) 364-2079
(602) 364-4769 Fax
The Division of Licensing Services/Office of Special Licensing oversees the licensing and regulation of Speech and Hearing professionals. The division is guided through the Speech and Hearing Advisory Committee established by Arizona Revised Statute (A.R.S.) Title 36, Chapter 17, Article 1. § 36-1902(A)(1) and (C).

August 2008 Hearing Aid Dispenser Licensing Examination:  The next Hearing Aid Dispenser Licensing Examination will be held in August 2008.  An Application to sit for this examination may be downloaded by clicking on the following License by Examination Application [PDF 28K], or obtained by calling or visiting the Office of Special Licensing.  Applications must be received by the Office of Special Licensing on or before July 30, 2008.  All applicants will be notified of the exact date of the examination prior to August 8, 2008.  

The Advisory Committee is composed of the OSL Program Manager, 2 physicians, 2 audiologists, 2 hearing aid dispensers, 2 members of the public and 1 member from the Commission for the Deaf and Hard of Hearing.

At the present time, the Advisory Committee has the following vacancies:

  • 1 member of the public

Become a member!

Advisory Committee Members:

  • Georgine Ray, Dispensing Audiologist Rep. and Committee Chair
  • Heidi Lervik, Co-Chair and member of the public
  • Jim Cvetko, Hearing Aid Dispenser Rep.
  • Laurene L. Flitner, CCC-SPL, Speech-Language Pathologist Rep.
  • Carla Zimmerman, Speech-Language Pathologist Rep.
  • Michael, J. Fucci, MD, Physician (Otolaryngology) Rep.
  • Robert J. Scharber, Dispensing Audiologist Rep.
  • Bob Baber, Hearing Aid Dispenser Rep.
  • Michele Michaels, Arizona Commission for the Deaf and the Hard of Hearing Rep.
  • Rohno Geppert, Representing the Director of the Arizona Department of Health Services

Coming Soon: Speech-Language Pathology Assistants!

Note:  Some of the files on this page are in PDF format.  Acrobat Reader™ must be downloaded and installed on your computer to read them. 

SLPA initial draft now posted for public comment:

E-mail any comments to Rohno Geppert

New - Required Documentation of Immigration Status of Licensees and/or Certification Holders - view details

NEW SERVICE - Renew Your License Online

Facility Information
 ALS Search:  Searchable Facility Information
 Listing of Arizona Hearing Aid Dispensers, Speech-language Pathologists and Audiologists. In three downloadable formats
Consumer Information
 Health Care Fraud: Schemes to Defraud Medicare, Medicaid, and Private Health Care Insurers [30KB]
 How to Select a Hearing Aid
 AARP's Consumer Guide to Hearing Aids
Training/Licensing

You may also request pre-approval of a course you are interested in prior to attending:
 
Course Pre-Approval Request Instructions [PDF 66KB]

 Continuing Education Forms:
CEU Course Pre-Approval  Speech-Language Pathology & Audiology [PDF 116KB] 
CEU Course Pre-Approval for Hearing Aid Dispenser [PDF 107KB]
Audiology and Speech-Language Pathology CEU Form for Renewals [PDF 9KB]
Hearing Aid Dispenser CEU Form for Renewals [PDF 10KB]

Rules/Regulations
 Arizona Administrative Code: State Requirements for Licensing
 Arizona Department of Health Services Office of Administrative Rules
 Arizona Revised Statutes, Title 36, Chapter 1 - State and Local Boards and Departments of Health
 Federal Code of Regulations, Title 21, Section 801.420 - Hearing Aid Devices; Professional and Patient Labeling 
 Federal Code of Regulations, Title 21, Section 801.421 -  Hearing Aid Devices; Conditions for Sale
Enforcement/Complaints
 Complaint Form [PDF 8KB]
 ADHS Enforcement Actions
Provider Information
 Licensure Forms:
Initial License Application  Speech-Language Pathology & Audiology [PDF 136KB]
Initial License Application for Individual Hearing Aid Dispenser [PDF 119KB]
Renewal License Application
Individual Hearing Aid Dispenser/Audiologist/
Speech-Language Pathology  [PDF 159KB]
Temporary Hearing Aid Dispenser Sponsor Form [PDF 82KB]
Clinical Fellowship Agreement [PDF 90KB]
Hearing Aid Business License Application [PDF 183KB]

ADHS Web Privacy Policy. This page last modified on August 25, 2008.
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