Submit Paperwork

After completing a course, participants may submit their CE information to us online or by mail, fax, or email (see below).


If you do not wish to receive ASHA CEUs, you can receive (only) a certificate of completion by sending us your information through the channels below. When submitting paperwork online, there is a checkbox to opt-out of ASHA reporting. If submitting paperwork by mail, fax, or email, please write “NO ASHA” in the ASHA Number field of your CE Participant form.


Submit Your Information Online

If you would like to submit your paperwork online, please select the course you have taken from the list below and complete the electronic form on the next page.


Mail, Fax, and Email

You may also download the participant paperwork and send it to us by mail, fax, or email, instead.

Identify the course you have taken from the list below and print the forms listed beneath the title.

The Four Stages of Imitation (1 Hour on DVD)

Learning Assessment Form
Program Evaluation Form
ASHA CE Participant Form

Stubborn & Uncooperative (1 Hour on DVD)

Learning Assessment Form
Program Evaluation Form
ASHA CE Participant Form

Please send your completed paperwork to:

Marshalla Speech & Language
2305-C Ashland Street, PMB 318
Ashland, OR 97520

Fax: 541-843-1000
Email: [email protected]

PLEASE MAKE SURE TO SEND US ALL 3 FORMS!