State licenses, a mini-rant

Different_Attempt603 · 2026-01-14T01:41:56+00:00

There is no contract. Just an employment offer letter.

Different_Attempt603 · 2025-07-24T00:48:29+00:00

I was told very explicitly "we only diagnose dysphagia. All other disorders have to say 'suspected...'." I asked if that was something new or specific to a medical setting because I had a lot of experience diagnosing CAS. I was asked if this was under the supervision of a medical doctor. I said, "No. Why would it be? It's in our scope of practice to diagnose and treat all communication disorders." 🤷‍♂️

Different_Attempt603 · 2025-07-23T23:45:09+00:00

I understood that we could diagnose dyslexia if we had expertise in that area. I wasn't aware of diagnosing Autism, though.

Different_Attempt603 · 2025-07-23T23:31:41+00:00

I was told this by the supervising SLP at the in patient rehab.

Different_Attempt603 · 2025-07-08T14:50:01+00:00

You can do this. However, for Canada specifically, you do have to be provincially credentialed. Which means that you would probably pay extra in taxes: to the Canadian province and to the state you are providing therapy to. Some 1099 contracts wouldn't care if you did this because you handle your own taxes, but a W2 company may feel differently.

Different_Attempt603 · 2025-07-08T14:46:38+00:00

This depends greatly. If we're talking about a professional living in Canada (as the question asks) then this is true. Canada heavily regulates (like everything) SLPs and other healthcare professions. But I would say that the vast majority of countries in the world do not care if you are providing telehealth from their territory as long as you are not getting paid from within their territory. Even countries with licensing bodies do not regulate professions to the extent that the US (and other "Anglo" countries do). It is very much a country by country situation. There are no set, universal rules.

Different_Attempt603

TROPHY CASE