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Oklahoma Speech-Language Pathology — Requirements & Free Practice

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Speech-Language Pathologist License

General license for independent speech-language pathology practice; telepractice is practice requiring licensure under 59 O.S. §1603(E).

Licensing authority: Oklahoma Board of Examiners for Speech-Language Pathology and Audiology · Application information

Licensure by ASHA Certificate of Clinical Competence
No examination is required for this applicant pathway.
Application
Submit the Board application and $85 fee.
Background check
Complete a national criminal background check.
Certification
Hold the current ASHA Certificate of Clinical Competence in speech-language pathology or a current equivalent with standards at least equivalent to Oklahoma licensure.
Citizenship
Submit the citizenship affidavit showing United States citizen, noncitizen national, or qualified-alien status.
Disciplinary eligibility
Must not have committed acts under 59 O.S. §1619 that justify discipline.
References
Submit three to five qualifying references in speech-language pathology; Board members cannot supply references.
Verification
ASHA must send evidence of certification directly to the Board; the applicant pays verification fees.
Waivers
The Act and OAC 690:10-3-7(b) waive examination; OAC 690:10-3-4(b)(3) and 690:10-3-6(b) waive transcript and clinical-fellowship requirements.

Official no-examination sources

Effective from 2026-09-22.

Conversion after clinical fellowship with ASHA CCC
No examination is required for this applicant pathway.
Application
Submit the Board application and $85 fee.
Background check
Complete a national criminal background check.
Certification
Hold the current ASHA Certificate of Clinical Competence in speech-language pathology or a current equivalent with standards at least equivalent to Oklahoma licensure.
Citizenship
Submit the citizenship affidavit showing United States citizen, noncitizen national, or qualified-alien status.
Clinical fellowship status
Existing clinical fellow supplies the current ASHA card and ASHA verification letter instead of report and passing score.
Disciplinary eligibility
Must not have committed acts under 59 O.S. §1619 that justify discipline.
References
Submit three to five qualifying references in speech-language pathology; Board members cannot supply references.
Verification
ASHA must send evidence of certification directly to the Board; the applicant pays verification fees.
Waivers
The Act and OAC 690:10-3-7(b) waive examination; OAC 690:10-3-4(b)(3) and 690:10-3-6(b) waive transcript and clinical-fellowship requirements.

Official no-examination sources

Effective from 2026-09-22.

Conversion after completion of clinical fellowship
Speech-Language Pathology (5331)
Academic credits
Verify 75 semester credit hours, including at least 27 basic-science credits (six biological/physical sciences and mathematics, six behavioral/social sciences, and fifteen basic communication processes) and 36 graduate professional credits, with the knowledge areas listed in OAC 690:10-3-4(b).
Application
Submit the Board application and $85 fee.
Background check
Complete a national criminal background check.
Citizenship
Submit the citizenship affidavit showing United States citizen, noncitizen national, or qualified-alien status.
Clinical fellowship
Complete at least 36 weeks of paid full-time fellowship (at least 30 hours/week) within 24 consecutive months, or 18 months of paid half-time fellowship (at least 15 hours/week) within 36 consecutive months; document qualified supervision and at least 36 supervisory visits.
Clinical fellowship status
Complete the licensed clinical fellowship and submit its report, application fee and passing Praxis score.
Clinical practicum
Complete 400 supervised hours: 375 direct client/patient contact and 25 observation, including at least 325 graduate-program hours.
Disciplinary eligibility
Must not have committed acts under 59 O.S. §1619 that justify discipline.
Education
Hold at least a masters degree or equivalent with a major emphasis in speech-language pathology from an accredited program; submit official transcripts and academic/practicum verification under OAC 690:10-3-4.
Exam deadline
Pass the approved examination within two years after Board approval of the first clinical-fellow application; the Board may allow exceptions under extenuating circumstances.
Open exam approval
Other national examinations may be recognized by the Board if their standards equal or exceed ETS Praxis II standards; the rules name no additional SLP examination.
References
Submit three to five qualifying references in speech-language pathology; Board members cannot supply references.
Score delivery
Arrange for the testing vendor to send the passing examination score directly to the Board.
Licensure by examination
Speech-Language Pathology (5331)
Academic credits
Verify 75 semester credit hours, including at least 27 basic-science credits (six biological/physical sciences and mathematics, six behavioral/social sciences, and fifteen basic communication processes) and 36 graduate professional credits, with the knowledge areas listed in OAC 690:10-3-4(b).
Application
Submit the Board application and $85 fee.
Background check
Complete a national criminal background check.
Citizenship
Submit the citizenship affidavit showing United States citizen, noncitizen national, or qualified-alien status.
Clinical fellowship
Complete at least 36 weeks of paid full-time fellowship (at least 30 hours/week) within 24 consecutive months, or 18 months of paid half-time fellowship (at least 15 hours/week) within 36 consecutive months; document qualified supervision and at least 36 supervisory visits.
Clinical practicum
Complete 400 supervised hours: 375 direct client/patient contact and 25 observation, including at least 325 graduate-program hours.
Compact privilege
OAC 690:10-3-10 and 59 O.S. §§1575–1588 authorize a compact practice privilege derived from a home-state license, explicitly without obtaining an additional Oklahoma license. It is not a separate license or certification issued by this Board and is not represented as an issuance route for an Oklahoma license.
Disciplinary eligibility
Must not have committed acts under 59 O.S. §1619 that justify discipline.
Education
Hold at least a masters degree or equivalent with a major emphasis in speech-language pathology from an accredited program; submit official transcripts and academic/practicum verification under OAC 690:10-3-4.
Exam deadline
Pass the approved examination within two years after Board approval of the first clinical-fellow application; the Board may allow exceptions under extenuating circumstances.
Open exam approval
Other national examinations may be recognized by the Board if their standards equal or exceed ETS Praxis II standards; the rules name no additional SLP examination.
References
Submit three to five qualifying references in speech-language pathology; Board members cannot supply references.
Score delivery
Arrange for the testing vendor to send the passing examination score directly to the Board.
Expedited reciprocity for active duty military personnel and spouses
No examination is required for this applicant pathway.
Additional documents
The Board checklist requests current-license verification, licensure rules and card, official transcripts, passport photo, and passing Praxis scores.
Application
Application fee is waived; the Board issues the license within 30 days after receipt of a completed qualifying application.
Background check
Complete a national criminal background check.
Board checklist demand
The lower-ranked Board checklist, Licensure from Another State, nevertheless requires: Licensure from Another State Completed Application Passport Photo Application Fee of $85.00 Citizenship Affidavit License Verification Letter from Current State Copy of Licensure Rules from Current State Copy of Licensure Card from Current State 3 Letters of Reference (on our required form) Official Transcripts Passing Praxis Scores Background Check from Trak-1
Citizenship
Submit the citizenship affidavit showing United States citizen, noncitizen national, or qualified-alien status.
Disciplinary eligibility
Must not have committed acts under 59 O.S. §1619 that justify discipline.
Existing license
Hold a current license in good standing in another state or country whose qualifications and examinations meet or exceed Oklahoma requirements; provide satisfactory verification.
Military status
Applicant is active-duty military personnel or a spouse.
References
Submit three to five qualifying references in speech-language pathology; Board members cannot supply references.
Statutory exam waiver
59 O.S. §1606(A) requires the Board to waive examination for substantially equivalent current licensure.

Official no-examination sources

Effective from 2026-09-22.

Renewal within twelve months after expiration
No examination is required for this applicant pathway.
Ce audit
Late renewal during the first year triggers an automatic audit for the preceding two-year CE period.
Continuing education
Obtain 20 Board-approved continuing-education hours per two-year period beginning January of an odd-numbered year, including three hours of professional ethics; applicable proration and Board hardship or extension relief remain available.
Renewal fee
Fee increases 50% per month or fraction, to $255; practice requires renewal.

Official no-examination sources

Effective from 2026-09-22.

Automatic renewal during active military duty
No examination is required for this applicant pathway.
Continuing education
Obtain 20 Board-approved continuing-education hours per two-year period beginning January of an odd-numbered year, including three hours of professional ethics; applicable proration and Board hardship or extension relief remain available.
Military status
Active license in good standing; licensee is a member of the United States Armed Forces and on active duty at renewal.
Renewal fee
Submit active-duty assignment notice; automatic renewal without fee continues through active duty and up to one year after discharge.

Official no-examination sources

Effective from 2026-09-22.

Reactivation after five or more years inactive
Speech-Language Pathology (5331)
Application
Submit written application, $127.50 reactivation fee and proof of CE compliance throughout inactivity.
Competence window
Demonstrate competence within the two years before application.
Implementation difference
The lower-ranked Board form says over five years and lists practice hours or Praxis retake, omitting the rule's additional-20-hours option. It states: If your license has been Inactive over five years, please submit the items below: 1) 20 CEU hours (with 3 of those hours being professional ethics) from the last 2 years 2) Proof of at least 520 hours of practice in another state or from a setting exempt from licensure OR Retake & pass the Praxis exam
Inactive duration
At least five years and no more than ten years; OAC 690:10-9-7(c) includes exactly five years.
Nonexam alternatives
The rule permits proof of licensure and 520 practice hours in another state, 520 hours in an exempt setting, or an additional 20 CE hours instead of retaking the licensure examination.
Reactivation after less than five years inactive
No examination is required for this applicant pathway.
Application
Submit written reactivation application, pay $127.50 and prove CE compliance throughout inactivity.
Continuing education
Obtain 20 Board-approved continuing-education hours per two-year period beginning January of an odd-numbered year, including three hours of professional ethics; applicable proration and Board hardship or extension relief remain available.
Inactive duration
Less than five years; inactive status cannot exceed ten years.

Official no-examination sources

Effective from 2026-09-22.

Annual renewal
No examination is required for this applicant pathway.
Continuing education
Obtain 20 Board-approved continuing-education hours per two-year period beginning January of an odd-numbered year, including three hours of professional ethics; applicable proration and Board hardship or extension relief remain available.
Renewal fee
Pay $85 by December 31; the license expires January 1 if not renewed.

Official no-examination sources

Effective from 2026-09-22.

Restoration after revocation or reduction of suspension
No examination is required for this applicant pathway.
Board discretion
Restoration of a revoked license or reduction of a suspension requires the affirmative vote of three Board members under 59 O.S. §1619(E); the provision prescribes no examination.
Individual order
Any conditions lawfully imposed by the Board on the individual license remain applicant conditions.

Official no-examination sources

Effective from 2026-09-22.

Reapplication after more than twelve months without renewal — Licensure by ASHA Certificate of Clinical Competence
No examination is required for this applicant pathway.
Application
Submit the Board application and $85 fee.
Background check
Complete a national criminal background check.
Certification
Hold the current ASHA Certificate of Clinical Competence in speech-language pathology or a current equivalent with standards at least equivalent to Oklahoma licensure.
Citizenship
Submit the citizenship affidavit showing United States citizen, noncitizen national, or qualified-alien status.
Disciplinary eligibility
Must not have committed acts under 59 O.S. §1619 that justify discipline.
Prior invalidity
Prior license was not renewed within twelve months after expiration and was not placed inactive; meet all current licensure requirements.
References
Submit three to five qualifying references in speech-language pathology; Board members cannot supply references.
Verification
ASHA must send evidence of certification directly to the Board; the applicant pays verification fees.
Waivers
The Act and OAC 690:10-3-7(b) waive examination; OAC 690:10-3-4(b)(3) and 690:10-3-6(b) waive transcript and clinical-fellowship requirements.

Official no-examination sources

Effective from 2026-09-22.

Reapplication after more than twelve months without renewal — Licensure by examination
Speech-Language Pathology (5331)
Academic credits
Verify 75 semester credit hours, including at least 27 basic-science credits (six biological/physical sciences and mathematics, six behavioral/social sciences, and fifteen basic communication processes) and 36 graduate professional credits, with the knowledge areas listed in OAC 690:10-3-4(b).
Application
Submit the Board application and $85 fee.
Background check
Complete a national criminal background check.
Citizenship
Submit the citizenship affidavit showing United States citizen, noncitizen national, or qualified-alien status.
Clinical fellowship
Complete at least 36 weeks of paid full-time fellowship (at least 30 hours/week) within 24 consecutive months, or 18 months of paid half-time fellowship (at least 15 hours/week) within 36 consecutive months; document qualified supervision and at least 36 supervisory visits.
Clinical practicum
Complete 400 supervised hours: 375 direct client/patient contact and 25 observation, including at least 325 graduate-program hours.
Disciplinary eligibility
Must not have committed acts under 59 O.S. §1619 that justify discipline.
Education
Hold at least a masters degree or equivalent with a major emphasis in speech-language pathology from an accredited program; submit official transcripts and academic/practicum verification under OAC 690:10-3-4.
Exam deadline
Pass the approved examination within two years after Board approval of the first clinical-fellow application; the Board may allow exceptions under extenuating circumstances.
Open exam approval
Other national examinations may be recognized by the Board if their standards equal or exceed ETS Praxis II standards; the rules name no additional SLP examination.
Prior invalidity
Prior license was not renewed within twelve months after expiration and was not placed inactive; meet all current licensure requirements.
References
Submit three to five qualifying references in speech-language pathology; Board members cannot supply references.
Score delivery
Arrange for the testing vendor to send the passing examination score directly to the Board.
Reapplication after more than twelve months without renewal — Expedited reciprocity for active duty military personnel and spouses
No examination is required for this applicant pathway.
Additional documents
The Board checklist requests current-license verification, licensure rules and card, official transcripts, passport photo, and passing Praxis scores.
Application
Application fee is waived; the Board issues the license within 30 days after receipt of a completed qualifying application.
Background check
Complete a national criminal background check.
Board checklist demand
The lower-ranked Board checklist, Licensure from Another State, nevertheless requires: Licensure from Another State Completed Application Passport Photo Application Fee of $85.00 Citizenship Affidavit License Verification Letter from Current State Copy of Licensure Rules from Current State Copy of Licensure Card from Current State 3 Letters of Reference (on our required form) Official Transcripts Passing Praxis Scores Background Check from Trak-1
Citizenship
Submit the citizenship affidavit showing United States citizen, noncitizen national, or qualified-alien status.
Disciplinary eligibility
Must not have committed acts under 59 O.S. §1619 that justify discipline.
Existing license
Hold a current license in good standing in another state or country whose qualifications and examinations meet or exceed Oklahoma requirements; provide satisfactory verification.
Military status
Applicant is active-duty military personnel or a spouse.
Prior invalidity
Prior license was not renewed within twelve months after expiration and was not placed inactive; meet all current licensure requirements.
References
Submit three to five qualifying references in speech-language pathology; Board members cannot supply references.
Statutory exam waiver
59 O.S. §1606(A) requires the Board to waive examination for substantially equivalent current licensure.

Official no-examination sources

Effective from 2026-09-22.

Reapplication after more than twelve months without renewal — Licensure by reciprocity
No examination is required for this applicant pathway.
Additional documents
The Board checklist requests current-license verification, licensure rules and card, official transcripts, passport photo, and passing Praxis scores.
Application
Submit the Board application and $85 fee.
Background check
Complete a national criminal background check.
Board checklist demand
The lower-ranked Board checklist, Licensure from Another State, nevertheless requires: Licensure from Another State Completed Application Passport Photo Application Fee of $85.00 Citizenship Affidavit License Verification Letter from Current State Copy of Licensure Rules from Current State Copy of Licensure Card from Current State 3 Letters of Reference (on our required form) Official Transcripts Passing Praxis Scores Background Check from Trak-1
Citizenship
Submit the citizenship affidavit showing United States citizen, noncitizen national, or qualified-alien status.
Disciplinary eligibility
Must not have committed acts under 59 O.S. §1619 that justify discipline.
Existing license
Hold a current license in good standing in another state or country whose qualifications and examinations meet or exceed Oklahoma requirements; provide satisfactory verification.
Prior invalidity
Prior license was not renewed within twelve months after expiration and was not placed inactive; meet all current licensure requirements.
References
Submit three to five qualifying references in speech-language pathology; Board members cannot supply references.
Statutory exam waiver
59 O.S. §1606(A) requires the Board to waive examination for substantially equivalent current licensure.

Official no-examination sources

Effective from 2026-09-22.

Licensure by reciprocity
No examination is required for this applicant pathway.
Additional documents
The Board checklist requests current-license verification, licensure rules and card, official transcripts, passport photo, and passing Praxis scores.
Application
Submit the Board application and $85 fee.
Background check
Complete a national criminal background check.
Board checklist demand
The lower-ranked Board checklist, Licensure from Another State, nevertheless requires: Licensure from Another State Completed Application Passport Photo Application Fee of $85.00 Citizenship Affidavit License Verification Letter from Current State Copy of Licensure Rules from Current State Copy of Licensure Card from Current State 3 Letters of Reference (on our required form) Official Transcripts Passing Praxis Scores Background Check from Trak-1
Citizenship
Submit the citizenship affidavit showing United States citizen, noncitizen national, or qualified-alien status.
Disciplinary eligibility
Must not have committed acts under 59 O.S. §1619 that justify discipline.
Existing license
Hold a current license in good standing in another state or country whose qualifications and examinations meet or exceed Oklahoma requirements; provide satisfactory verification.
References
Submit three to five qualifying references in speech-language pathology; Board members cannot supply references.
Statutory exam waiver
59 O.S. §1606(A) requires the Board to waive examination for substantially equivalent current licensure.

Official no-examination sources

Effective from 2026-09-22.

Speech-Language Pathology Clinical Fellow License

Supervised clinical-fellow license during postgraduate clinical fellowship.

Licensing authority: Oklahoma Board of Examiners for Speech-Language Pathology and Audiology · Application information

Initial clinical fellow licensure
Speech-Language Pathology (5331)
Application
Submit the Board application and $85 fee.
Background check
Complete a national criminal background check.
Citizenship
Submit the citizenship affidavit showing United States citizen, noncitizen national, or qualified-alien status.
Deadline exception
The Board may grant an exception to the examination deadline for extenuating circumstances.
Deferred examination
59 O.S. §1605(C) does not require a passing exam for initial issuance. OAC 690:10-3-7(a) requires passing the approved Praxis within two years of the first clinical-fellow application; retain the currently offered examination as a leaf because the route involves this subsequent requirement.
Disciplinary eligibility
Must not have committed acts under 59 O.S. §1619 that justify discipline.
Education
Complete the academic and supervised clinical-practicum qualifications specified in 59 O.S. §1605(A)(1)-(2) and OAC 690:10-3-4 and 690:10-3-5.
Fellowship status
Be in the process of completing postgraduate supervised professional experience and use the title Clinical Fellow.
License period
Initial clinical-fellow license lasts one calendar year; request a one-year extension in writing before expiration if needed.
Qualified supervisor
The supervisor has at least two years of SLP licensure and six hours of Board-approved supervision training within the preceding ten years, including three hours specific to clinical-fellow supervision.
References
Submit three to five qualifying references in speech-language pathology; Board members cannot supply references.
Supervised practice
May not practice independently; document at least 36 supervision activities, including 18 one-hour on-site observations and 18 other monitoring activities distributed across the three fellowship segments.
Supervision agreement
Submit the clinical-fellow application, plan and signed agreement by the applicant and a qualified supervisor who accepts full responsibility.
Extension of clinical fellow license
Speech-Language Pathology (5331)
Application
Submit the Board application and $85 fee.
Background check
Complete a national criminal background check.
Citizenship
Submit the citizenship affidavit showing United States citizen, noncitizen national, or qualified-alien status.
Deadline exception
The Board may grant an exception to the examination deadline for extenuating circumstances.
Deferred examination
59 O.S. §1605(C) does not require a passing exam for initial issuance. OAC 690:10-3-7(a) requires passing the approved Praxis within two years of the first clinical-fellow application; retain the currently offered examination as a leaf because the route involves this subsequent requirement.
Disciplinary eligibility
Must not have committed acts under 59 O.S. §1619 that justify discipline.
Education
Complete the academic and supervised clinical-practicum qualifications specified in 59 O.S. §1605(A)(1)-(2) and OAC 690:10-3-4 and 690:10-3-5.
Extension
Request an additional one-year license in writing before the existing license expires; notify the Board of supervisor changes and obtain approval of a new agreement before changing supervision.
Fellowship status
Be in the process of completing postgraduate supervised professional experience and use the title Clinical Fellow.
License period
Initial clinical-fellow license lasts one calendar year; request a one-year extension in writing before expiration if needed.
Qualified supervisor
The supervisor has at least two years of SLP licensure and six hours of Board-approved supervision training within the preceding ten years, including three hours specific to clinical-fellow supervision.
References
Submit three to five qualifying references in speech-language pathology; Board members cannot supply references.
Supervised practice
May not practice independently; document at least 36 supervision activities, including 18 one-hour on-site observations and 18 other monitoring activities distributed across the three fellowship segments.
Supervision agreement
Submit the clinical-fellow application, plan and signed agreement by the applicant and a qualified supervisor who accepts full responsibility.

Temporary Speech-Language Pathology Clinical Fellow License

Interim license after verification of applicable qualifications and before Board action on the permanent application; expires on approval or ten days after denial.

Licensing authority: Oklahoma Board of Examiners for Speech-Language Pathology and Audiology · Application information

Temporary license pending Board action — Initial clinical fellow licensure
Speech-Language Pathology (5331)
Application
Submit the Board application and $85 fee.
Background check
Complete a national criminal background check.
Citizenship
Submit the citizenship affidavit showing United States citizen, noncitizen national, or qualified-alien status.
Deadline exception
The Board may grant an exception to the examination deadline for extenuating circumstances.
Deferred examination
59 O.S. §1605(C) does not require a passing exam for initial issuance. OAC 690:10-3-7(a) requires passing the approved Praxis within two years of the first clinical-fellow application; retain the currently offered examination as a leaf because the route involves this subsequent requirement.
Disciplinary eligibility
Must not have committed acts under 59 O.S. §1619 that justify discipline.
Education
Complete the academic and supervised clinical-practicum qualifications specified in 59 O.S. §1605(A)(1)-(2) and OAC 690:10-3-4 and 690:10-3-5.
Fellowship status
Be in the process of completing postgraduate supervised professional experience and use the title Clinical Fellow.
License period
Initial clinical-fellow license lasts one calendar year; request a one-year extension in writing before expiration if needed.
Qualified supervisor
The supervisor has at least two years of SLP licensure and six hours of Board-approved supervision training within the preceding ten years, including three hours specific to clinical-fellow supervision.
References
Submit three to five qualifying references in speech-language pathology; Board members cannot supply references.
Supervised practice
May not practice independently; document at least 36 supervision activities, including 18 one-hour on-site observations and 18 other monitoring activities distributed across the three fellowship segments.
Supervision agreement
Submit the clinical-fellow application, plan and signed agreement by the applicant and a qualified supervisor who accepts full responsibility.
Temporary authorization
Executive secretary may issue the temporary license after verifying all applicable qualifications; it lasts pending Board approval and expires on approval or ten days after denial.

Temporary Speech-Language Pathologist License

Interim license after verification of applicable qualifications and before Board action on the permanent application; expires on approval or ten days after denial.

Licensing authority: Oklahoma Board of Examiners for Speech-Language Pathology and Audiology · Application information

Temporary license pending Board action — Licensure by ASHA Certificate of Clinical Competence
No examination is required for this applicant pathway.
Application
Submit the Board application and $85 fee.
Background check
Complete a national criminal background check.
Certification
Hold the current ASHA Certificate of Clinical Competence in speech-language pathology or a current equivalent with standards at least equivalent to Oklahoma licensure.
Citizenship
Submit the citizenship affidavit showing United States citizen, noncitizen national, or qualified-alien status.
Disciplinary eligibility
Must not have committed acts under 59 O.S. §1619 that justify discipline.
References
Submit three to five qualifying references in speech-language pathology; Board members cannot supply references.
Temporary authorization
Executive secretary may issue the temporary license after verifying all applicable qualifications; it lasts pending Board approval and expires on approval or ten days after denial.
Verification
ASHA must send evidence of certification directly to the Board; the applicant pays verification fees.
Waivers
The Act and OAC 690:10-3-7(b) waive examination; OAC 690:10-3-4(b)(3) and 690:10-3-6(b) waive transcript and clinical-fellowship requirements.

Official no-examination sources

Effective from 2026-09-22.

Temporary license pending Board action — Licensure by examination
Speech-Language Pathology (5331)
Academic credits
Verify 75 semester credit hours, including at least 27 basic-science credits (six biological/physical sciences and mathematics, six behavioral/social sciences, and fifteen basic communication processes) and 36 graduate professional credits, with the knowledge areas listed in OAC 690:10-3-4(b).
Application
Submit the Board application and $85 fee.
Background check
Complete a national criminal background check.
Citizenship
Submit the citizenship affidavit showing United States citizen, noncitizen national, or qualified-alien status.
Clinical fellowship
Complete at least 36 weeks of paid full-time fellowship (at least 30 hours/week) within 24 consecutive months, or 18 months of paid half-time fellowship (at least 15 hours/week) within 36 consecutive months; document qualified supervision and at least 36 supervisory visits.
Clinical practicum
Complete 400 supervised hours: 375 direct client/patient contact and 25 observation, including at least 325 graduate-program hours.
Disciplinary eligibility
Must not have committed acts under 59 O.S. §1619 that justify discipline.
Education
Hold at least a masters degree or equivalent with a major emphasis in speech-language pathology from an accredited program; submit official transcripts and academic/practicum verification under OAC 690:10-3-4.
Exam deadline
Pass the approved examination within two years after Board approval of the first clinical-fellow application; the Board may allow exceptions under extenuating circumstances.
Open exam approval
Other national examinations may be recognized by the Board if their standards equal or exceed ETS Praxis II standards; the rules name no additional SLP examination.
References
Submit three to five qualifying references in speech-language pathology; Board members cannot supply references.
Score delivery
Arrange for the testing vendor to send the passing examination score directly to the Board.
Temporary authorization
Executive secretary may issue the temporary license after verifying all applicable qualifications; it lasts pending Board approval and expires on approval or ten days after denial.
Temporary license pending Board action — Expedited reciprocity for active duty military personnel and spouses
No examination is required for this applicant pathway.
Additional documents
The Board checklist requests current-license verification, licensure rules and card, official transcripts, passport photo, and passing Praxis scores.
Application
Application fee is waived; the Board issues the license within 30 days after receipt of a completed qualifying application.
Background check
Complete a national criminal background check.
Board checklist demand
The lower-ranked Board checklist, Licensure from Another State, nevertheless requires: Licensure from Another State Completed Application Passport Photo Application Fee of $85.00 Citizenship Affidavit License Verification Letter from Current State Copy of Licensure Rules from Current State Copy of Licensure Card from Current State 3 Letters of Reference (on our required form) Official Transcripts Passing Praxis Scores Background Check from Trak-1
Citizenship
Submit the citizenship affidavit showing United States citizen, noncitizen national, or qualified-alien status.
Disciplinary eligibility
Must not have committed acts under 59 O.S. §1619 that justify discipline.
Existing license
Hold a current license in good standing in another state or country whose qualifications and examinations meet or exceed Oklahoma requirements; provide satisfactory verification.
Military status
Applicant is active-duty military personnel or a spouse.
References
Submit three to five qualifying references in speech-language pathology; Board members cannot supply references.
Statutory exam waiver
59 O.S. §1606(A) requires the Board to waive examination for substantially equivalent current licensure.
Temporary authorization
Executive secretary may issue the temporary license after verifying all applicable qualifications; it lasts pending Board approval and expires on approval or ten days after denial.

Official no-examination sources

Effective from 2026-09-22.

Temporary license pending Board action — Licensure by reciprocity
No examination is required for this applicant pathway.
Additional documents
The Board checklist requests current-license verification, licensure rules and card, official transcripts, passport photo, and passing Praxis scores.
Application
Submit the Board application and $85 fee.
Background check
Complete a national criminal background check.
Board checklist demand
The lower-ranked Board checklist, Licensure from Another State, nevertheless requires: Licensure from Another State Completed Application Passport Photo Application Fee of $85.00 Citizenship Affidavit License Verification Letter from Current State Copy of Licensure Rules from Current State Copy of Licensure Card from Current State 3 Letters of Reference (on our required form) Official Transcripts Passing Praxis Scores Background Check from Trak-1
Citizenship
Submit the citizenship affidavit showing United States citizen, noncitizen national, or qualified-alien status.
Disciplinary eligibility
Must not have committed acts under 59 O.S. §1619 that justify discipline.
Existing license
Hold a current license in good standing in another state or country whose qualifications and examinations meet or exceed Oklahoma requirements; provide satisfactory verification.
References
Submit three to five qualifying references in speech-language pathology; Board members cannot supply references.
Statutory exam waiver
59 O.S. §1606(A) requires the Board to waive examination for substantially equivalent current licensure.
Temporary authorization
Executive secretary may issue the temporary license after verifying all applicable qualifications; it lasts pending Board approval and expires on approval or ten days after denial.

Official no-examination sources

Effective from 2026-09-22.

Speech-Language Pathology (5331)

Provider
Educational Testing Service (ETS); computer delivered at a test center or at home (online); ASHA announces a transition to PSI, a wholly owned ETS subsidiary, on January 11, 2027, with availability through ETS and Prometric through December 31, 2026
Format
Computer-delivered selected-response questions; the test may contain some questions that do not count toward the score; the score is based on the number of questions answered correctly
Exam questions
132 selected-response questions (approximately 44 in each of the three content categories)
Time limit
150 minutes
Passing score
States, institutions, and associations that require the test set their own passing scores; the passing score for purposes of ASHA certification is 162 on a 100-200 scale
Exam fee
$146.00
Examination outline
  • I. Foundations and Professional Practice (approximately 44 questions; approximately 33% of examination). Speech-language pathologists must have strong foundational knowledge about typical communication development, as well as common characteristics of communication and swallowing disorders and potential factors impacting communication. SLPs must also understand the professional practice requirements that support the provision of services. Knowledge about these requirements ensures that ethical, culturally competent services are provided within the framework of legislative and regulatory requirements and are founded in research.
    • A. Foundations — 1. Typical development and performance across the lifespan: a. developmental norms; b. speech sound and phonology; c. receptive and expressive language (–– syntax and morphology; –– semantics; –– pragmatics/social language); d. fluency; e. voice, resonance, and motor speech; f. feeding and swallowing; g. cognition; h. processing; i. motor and linguistic processes
    • A. Foundations — 2. Factors that influence communication, feeding, and swallowing: a. medical; b. cultural and ethnic; c. linguistic; d. psychological; e. anatomy/physiology; f. environmental; g. genetics; h. auditory
    • A. Foundations — 3. Epidemiology and characteristics of common communication and swallowing disorders: a. speech sound and phonology; b. syntax and morphology; c. semantics; d. pragmatics; e. fluency; f. voice, resonance, and motor speech; g. feeding and swallowing; h. cognition; i. processing
    • B. Professional Practice — 1. Wellness and prevention: a. prevention terminology, practices, and public education; b. risk factors for communication disorders
    • B. Professional Practice — 2. Culturally and linguistically appropriate service delivery: a. understanding, respecting, and responding to explicit and implicit cultural factors that influence communication; b. identifying the impact of assimilation and acculturation on communication patterns; c. communication differences between speakers of the same language
    • B. Professional Practice — 3. Counseling, collaboration, and teaming: a. interpersonal communication and counseling techniques; b. integration of other professionals into the assessment and treatment process; c. communication with patient/client/student, families, and other professionals
    • B. Professional Practice — 4. Documentation: a. legal and regulatory requirements; b. purposes of documentation; c. privacy requirements; d. official records
    • B. Professional Practice — 5. Ethics: a. standards of ethical practice (–– permissions, referrals, and record keeping; –– client/patient/student privacy; –– supervisory requirements; –– conflicts of interest; –– professional competence)
    • B. Professional Practice — 6. Legislation and client advocacy: a. federal laws and regulations impacting delivery of services; b. reporting requirements of governmental agencies; c. licensing requirements and standards
    • B. Professional Practice — 7. Research methodology and evidence-based practice: a. criterion for test selection; b. determining reliability of assessment procedures; c. models of research design; d. test construction principles; e. tenets of evidence-based practice
  • II. Screening, Assessment, Evaluation, and Diagnosis (approximately 44 questions; approximately 33% of examination). Speech-language pathologists use a variety of tools and strategies to gather information about clients with communication and swallowing disorders. They must synthesize and analyze the information to develop appropriate management plans. This section will focus on screening, assessment, evaluation, and diagnosis of communication and swallowing disorders. Topics include how SLPs use and interpret various screening and assessment tools to determine whether additional formal evaluation is indicated, as well as issues related to the selection of appropriate tools and approaches for screening, assessment, and evaluation. Identification of relevant factors from the case history, determining an appropriate assessment protocol, and interpretation of findings to determine a diagnosis and formulate recommendations are covered in this section of the exam, as well.
    • A. Screening — 1. Communication disorders: a. role of the SLP in screening for speech, language, and hearing disorders; b. screening procedures and approaches; c. identification of clients/patients and characteristics requiring further evaluation; d. knowledge of populations at risk for communication disorders
    • A. Screening — 2. Feeding and swallowing disorders: a. role of the SLP in screening for feeding and swallowing disorders; b. screening procedures and approaches; c. identification of clients/patients and characteristics which require further evaluation; d. knowledge of factors leading to increased risk of swallowing and feeding disorders in various populations
    • B. Approaches to Assessment and Evaluation — 1. Developing case histories: a. reviewing records for pertinent information; b. interviewing techniques to obtain pertinent information; c. integrating critical factors identified in the case history
    • B. Approaches to Assessment and Evaluation — 2. Selecting appropriate assessment instruments, procedures, and materials: a. identifying factors that influence test/procedure selection; b. identifying factors that require adaptation of traditional assessment procedures, instruments, and materials; c. selecting instrumental approaches that can be utilized to evaluate various communication and swallowing disorders (e.g., imaging, acoustic, aerodynamic, etc.)
    • B. Approaches to Assessment and Evaluation — 3. Assessing factors that influence communication and swallowing disorders: a. cultural and ethnic factors; b. linguistic factors; c. medical factors (e.g., stable versus progressive conditions, early versus late onset, etc.); d. developmental and cognitive factors; e. psychological factors; f. environmental factors
    • B. Approaches to Assessment and Evaluation — 4. Assessment of anatomy and physiology: a. assessment of pertinent anatomy, physiology, and neural substrates for: –– respiration; –– phonation; –– speech sound production; –– resonance; –– speech/language perception and processing; –– feeding and swallowing
    • C. Assessment Procedures and Assessment — 1. Speech sound production: a. standard and nonstandard assessment procedures; b. parameters of assessment of speech sound production; c. instrumental assessment of speech sound production; d. differential diagnosis of speech sound disorders; e. interpretation of assessment data
    • C. Assessment Procedures and Assessment — 2. Fluency: a. standard and nonstandard assessment procedures; b. parameters of assessment of fluency; c. instrumental assessment of fluency disorders; d. differential diagnosis of fluency disorders (e.g., stuttering versus cluttering); e. interpretation of assessment data
    • C. Assessment Procedures and Assessment — 3. Voice, resonance, and motor speech: a. standard and nonstandard assessment procedures; b. parameters of assessment of voice, resonance, and motor speech disorders; c. instrumental assessment of voice, resonance, and motor speech disorders; d. differential diagnosis of voice, resonance, and motor speech disorders; e. interpretation of assessment data
    • C. Assessment Procedures and Assessment — 4. Receptive and expressive language: a. standard and nonstandard assessment procedures; b. parameters of assessment of receptive and expressive language disorders; c. instrumental assessment of language disorders; d. differential diagnosis of language disorders; e. interpretation of assessment data
    • C. Assessment Procedures and Assessment — 5. Social aspects of communication, including pragmatics: a. standard and nonstandard assessment procedures; b. parameters of assessment of social aspects of communication, including pragmatics; c. differential diagnosis of social communication disorders and pragmatic disorders; d. interpretation of assessment data
    • C. Assessment Procedures and Assessment — 6. Cognitive aspects of communication: a. standard and nonstandard assessment procedures; b. parameters of assessment of cognitive communication disorders; c. differential diagnosis of cognitive communication disorders; d. interpretation of assessment data
    • C. Assessment Procedures and Assessment — 7. Augmentative and alternative communication: a. standard and nonstandard assessment procedures; b. low tech and high tech instrumental assessment procedures; c. parameters of assessment for augmentative and alternative communication; d. interpretation of assessment data
    • C. Assessment Procedures and Assessment — 8. Hearing: a. assessment approaches; b. considerations related to age, developmental status, medical condition, etc.; c. interpretation of assessment (e.g., audiograms and tympanograms) and identification of indicators for referral
    • C. Assessment Procedures and Assessment — 9. Feeding and swallowing: a. instrumental and noninstrumental assessment procedures; b. considerations related to age, developmental status, medical/surgical history, etc.; c. differential diagnosis of feeding and swallowing disorders; d. interpretation of assessment data and indications for referral
    • D. Etiology — 1. Genetic: a. modes of inheritance; b. genetic conditions associated with communication disorders and feeding/swallowing disorders, including common syndromes; c. features of common syndromes and their impact on communication and feeding/swallowing (e.g., Trisomy 21, 22q11.2 deletion syndrome, Fragile X syndrome, etc.)
    • D. Etiology — 2. Developmental: a. developmental delay; b. congenital and acquired conditions associated with developmental communication and feeding/swallowing disorders
    • D. Etiology — 3. Disease processes: a. childhood (e.g., congenital vocal fold paralysis, cystic fibrosis); b. acquired (e.g., Bell’s palsy, iatrogenic); c. progressive (e.g., amyotrophic lateral sclerosis, myopathy)
    • D. Etiology — 4. Auditory problems: a. congenital and childhood hearing loss; b. acquired hearing loss
    • D. Etiology — 5. Neurological: a. congenital (e.g., cerebral palsy); b. acquired (e.g., TBI, neoplasms, stroke)
    • D. Etiology — 6. Structural and functional: a. congenital (e.g., craniofacial anomalies); b. acquired (e.g., head and neck surgery, trauma, and iatrogenic causes); c. functional causes (e.g., velopharyngeal mislearning, vocal misuse)
    • D. Etiology — 7. Psychogenic
  • III. Planning, Implementation, and Evaluation of Treatment (approximately 44 questions; approximately 33% of examination). Speech-language pathologists are responsible for designing and implementing evidence-based treatments to help clients maximize their functioning in communication and/or swallowing. Consequently, the test includes a range of items that pertain to treatment planning, implementation, and evaluation. This topic area includes issues related to the development and evaluation of treatment plans, as well as evidence-based principles and procedures associated with specific communication and swallowing disorders.
    • A. Treatment Planning — 1. Evaluating factors that can affect treatment: a. evaluating the evidence base associated with a particular treatment strategy or approach; b. evaluating the role of client factors such as age, disorder type, disorder severity, concomitant disorders, personal goals/aspirations, and sociocultural background when planning and implementing treatment goals; c. evaluating the role of external factors such as caregivers’ interactions with the client, school or workplace policies, public laws, medications and iatrogenic, and societal stereotypes when planning and implementing treatment goals
    • A. Treatment Planning — 2. Initiating and prioritizing treatment and developing goals: a. processes and procedures for developing comprehensive, appropriate treatment goals; b. processes and procedures associated with integrating assessment results, caregiver or client/patient/student preferences, and treatment outcomes research; c. factors that affect when to begin, modify, or terminate a treatment plan; d. factors that affect the order in which treatment goals are addressed
    • A. Treatment Planning — 3. Determining appropriate treatment details: a. factors related to treatment scheduling (e.g., number and duration of sessions, time and location of sessions); b. factors related to treatment delivery (e.g., individual versus group sessions, sequential or simultaneous targeting of goals); c. personnel requirements (e.g., extent to which caregivers, teachers, peers, etc., are involved with treatment); d. training requirements (e.g., extent to which caregivers, teachers, peers, etc., need to be trained prior to participating in treatment or implementing generalization activities)
    • A. Treatment Planning — 4. Generating a prognosis: a. considering/accounting for client/patient/student factors (e.g., age, motivation, nature of disorder) that can affect treatment outcome; b. considering/accounting for external factors (e.g., family support, availability of services) that can affect treatment outcome
    • A. Treatment Planning — 5. Communicating recommendations: a. procedures, requirements, and best practices for communicating treatment-related recommendations to clients/patients/students and (when appropriate) their family members; b. procedures, requirements, and best practices for communicating treatment-related recommendations to other professionals who are involved in the client/patient/student’s treatment plan; c. principles of interprofessional practice
    • A. Treatment Planning — 6. General treatment principles and procedures: a. general principles and procedures to consider when selecting a treatment (e.g., age, disorder, sociocultural background, severity of impairment, nature of disability)
    • B. Treatment Evaluation — 1. Establishing methods for monitoring treatment progress and outcomes to evaluate assessment and/or treatment plans: a. procedures associated with identifying appropriate measures of treatment progress and treatment outcomes; b. methods associated with measuring baseline performance; c. methods associated with measuring progress while treatment is ongoing; d. procedures associated with modifying progress measures, if necessary, while treatment is ongoing; e. methods associated with evaluating performance when treatment concludes (e.g., short- and long-term outcomes); f. methods associated with determining the social validity of treatment outcomes and the impact of treatment outcomes on a client/patient’s quality of life
    • B. Treatment Evaluation — 2. Follow-up on post-treatment referrals and recommendations
    • C. Treatment — 1. Speech sound production: a. principles and characteristics of interventions used in the treatment of disorders that affect speech sound production; b. strategies for preventing, reducing, or eliminating communicative and/or related (e.g., educational, occupational) disability associated with speech sound production disorders or differences
    • C. Treatment — 2. Fluency: a. principles and characteristics of interventions used in the treatment of fluency disorders; b. strategies for preventing, reducing, or eliminating communicative and/or related (e.g., educational, occupational) disability associated with fluency disorders
    • C. Treatment — 3. Voice, resonance, and motor speech: a. voice (–– principles and characteristics of interventions used in the treatment of voice disorders; –– strategies and procedures for preventing, reducing, or eliminating communicative and/or related (e.g., educational, occupational) disability associated with voice disorders); b. resonance (–– principles and characteristics of interventions used in the treatment of resonance disorders; –– strategies for preventing, reducing, or eliminating communicative and/or related (e.g., educational, occupational) disability associated with resonance disorders); c. motor speech (–– principles and characteristics of interventions used in the treatment of motor speech disorders; –– strategies for preventing, reducing, or eliminating communicative and/or related (e.g., educational, occupational) disability associated with motor speech disorder)
    • C. Treatment — 4. Receptive and expressive language: a. principles and characteristics of interventions used in the treatment of receptive and expressive disorders; b. strategies for preventing, reducing, or eliminating communicative and/or related (e.g., educational, occupational) disabilities associated with receptive and expressive language functioning
    • C. Treatment — 5. Social aspects of communication, including pragmatics: a. principles and characteristics of interventions used to treat social aspects of communication, including pragmatics; b. strategies for preventing, reducing, or eliminating communicative and/or related (e.g., educational, occupational) disability associated with social aspects of communication
    • C. Treatment — 6. Communication impairments related to cognition: a. principles and characteristics of interventions used to treat communication impairments that are related to cognitive functioning; b. srategies for preventing, reducing, or eliminating communicative and/or related (e.g., educational, occupational) disability associated with cognitively based communication impairments
    • C. Treatment — 7. Treatment involving augmentative and alternative communication: a. factors involved in determining candidacy for AAC approaches; b. factors involved in selecting an appropriate AAC approach; c. principles and characteristics of AAC options/strategies; strategies for preventing, reducing, or eliminating communicative and/or related (e.g., educational, occupational) disability in those who use AAC
    • C. Treatment — 8. Hearing and aural rehabilitation: a. principles and characteristics of interventions used in the treatment of hearing loss; b. strategies for preventing, reducing, or eliminating speech-language and/or related (e.g., educational, occupational) disability associated with hearing impairment
    • C. Treatment — 9. Swallowing and feeding: a. rationale for selection of interventions used in the treatment of swallowing and feeding disorders based on evaluation data; b. other factors (outside of evaluation data) affecting the likelihood of success for a given treatment for feeding/swallowing disorders; c. strategies for preventing, reducing, or eliminating swallowing and feeding disorders; d. strategies for reducing the common health-related adverse consequences of swallowing and feeding disorders
Examination sources