Name Change Instructions

You are required to mail or fax in a copy of your marriage certificate or court order, along with the following information:

  • Your SLP/Aud license number
  • Current address, and
  • Telephone number

Processing time takes 5-15 business days. You will be notified in writing along with a new wallet card with your new name.

Fax number: 651-201-3839

Mail To: Minnesota Department of Health
Health Occupations Program
Attn: Gloria Rudolph
PO Box 64882
St. Paul, MN 55164-0882

Updated Thursday, 13-Oct-2011 13:41:57 CDT