Submit only if you are moving into a non-practicing category of registration.

Before you proceed, ensure information is correct in your ACSLPA online profile or there may be a delay in processing your status change. Click here to review or change your profile before completing the ‘Non-Practicing Declaration’ form if you are unsure.

  • I do not plan on working or volunteering in Alberta during this calendar year. Examples:

    • maternity leave
    • leave of absence
    • relocation
  • Non-Practicing status must be renewed annually.

Application to Change Status to Non-Practicing

  • Registration Number
  • Date Format: MM slash DD slash YYYY
    Date Status Change is required
  • Declarations

  • HPA – Schedule 28 - Practice of Speech-Language Pathology and Practice of Audiology
  • Practice
    3(1) In their practice, speech-language pathologists do one or more of the following:

    (a) assess, diagnose, rehabilitate and prevent communication and oral motor and pharyngeal dysfunctions and disorders,

    (b) teach, manage and conduct research in the science and practice of speech-language pathology, and

    (c) provide restricted activities authorized by the regulations.

    3(2) In their practice, audiologists do one or more of the following:

    (a) assess auditory and vestibular function and diagnose, rehabilitate, prevent and provide appropriate devices and treatment for auditory and vestibular dysfunction,

    (b) teach, manage and conduct research in the science and practice of audiology, and

    (c) provide restricted activities authorized by the regulations.

  • ACSLPA staff will contact you within 2 - 4 business days to confirm your submission.