Verification of Hours

Those requesting verification of 25 hours of clinical observation for licensure by the State Board of Examiners for Speech-Language-Pathology and Audiology must submit the following to Dr. Diana Gonzales:

  1. Check in the amount of $25 made payable to the CDIS Foundation
  2. Completed Hours Form


If the Name, SS#, and University Name lines of the Verification of Hours Form are not completed by you, then your hours will not be processed. Thank you for your assistance in making it as easy as possible to help you in a timely manner.