Georgia Hearing Instrument Specialist — Requirements & Free Practice
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Prescription Hearing Aid Dispenser License
Individual license to dispense prescription hearing aids under the Georgia Hearing Aid Dispensers Act.
Licensing authority: State Board of Examiners for Speech-Language Pathology, Audiology, and Hearing Aid Dispensing · Application information
Licensure after completed apprenticeship
- Apprentice permit
- Hold a valid apprentice dispenser permit issued under Article 3.
- Competency audiogram
- Submit a completed audiogram performed by the applicant.
- Competency evaluation
- Submit evaluation records showing interpretation of audiometric data, candidacy determination, and selection, programming and fitting competency.
- Competency fitting
- Submit documentation of earmold impressions or equivalent fitting procedures performed by the applicant.
- Fees
- Pay applicable fees.
- National exam alternative
- O.C.G.A. 43-44-45(a)(2) permits fulfillment of subsection (c) instead of ILE; this is a distinct apprenticeship condition, not an ILE examination alternative.
- Older board examination instructions
- The March 4, 2022 Board application states: ❑ REQUIRED EXAMINATIONS: All applicants are required to pass the GA Jurisprudence (Laws & Rules), Audiogram, Practical exams, and the ILE (national written examination). The new statute defines initial issuance through ILE, jurisprudence, and competency documentation; the additional Audiogram and Practical demands are retained here as lower-ranked instructions.
- Supervisor completion affidavit
- Submit an affidavit executed under oath by the supervising licensed dispenser or audiologist verifying completion of all apprenticeship requirements.
Statutory continuation of existing credential
- Continuation
- O.C.G.A. 43-44-41 continues its existing force and effect and deems it issued under Article 3; no fresh examination is a condition of the transfer.
- Existing valid credential
- The credential must have been issued under former Chapter 43-20 and valid and in effect on July 1, 2026.
Official no-examination sources
Effective from 2026-07-01.
- Georgia HB 1254, signed 2026 legislation
HB 1254 Section 4-6, O.C.G.A. 43-44-41
Initial licensure by examination
- Age
- At least 18 years of age.
- Application
- Submit the prescribed application and applicable fees.
- Background check
- Authorize Georgia Crime Information Center and FBI background checks, supply classifiable fingerprints and requested information, and pay associated fees.
- Competency audiogram
- Submit a completed audiogram performed by the applicant.
- Competency evaluation
- Submit evaluation records showing interpretation of audiometric data, candidacy determination, and selection, programming and fitting competency.
- Competency fitting
- Submit documentation of earmold impressions or equivalent fitting procedures performed by the applicant.
- Identity
- Provide a secure and verifiable identity document, an affidavit of lawful presence under O.C.G.A. 50-36-1, and required immigration documentation for a noncitizen.
- Older board examination instructions
- The March 4, 2022 Board application states: ❑ REQUIRED EXAMINATIONS: All applicants are required to pass the GA Jurisprudence (Laws & Rules), Audiogram, Practical exams, and the ILE (national written examination). The new statute defines initial issuance through ILE, jurisprudence, and competency documentation; the additional Audiogram and Practical demands are retained here as lower-ranked instructions.
- Standing
- Provide satisfactory licensure history and good standing; prior denial must no longer present applicable grounds.
Late renewal
- Continuing education
- Provide proof of completion of the applicable continuing education requirements.
- Fees
- Pay the current renewal fee plus an additional 50 percent under Rule 276-14-.02.
- Late window
- Rule 276-14-.02 allows late renewal through January 31 following the odd-year December 31 expiration.
Official no-examination sources
Effective from 2026-07-01.
- Georgia HB 1254, signed 2026 legislation
HB 1254 Section 4-6, O.C.G.A. 43-44-48(a)-(b)
- Georgia Rules and Regulations, Department 276
Rule 276-14-.02, late renewal
Military spouse or transitioning service member endorsement
- Application
- Submit the prescribed application and applicable fees.
- Background check
- Complete the required nationwide fingerprint background check.
- Military status
- Document status as a military spouse or transitioning service member under Rule 276-12-.01; transitioning members are within 24 months of retirement or 12 months of separation.
- Other jurisdiction license
- Verify an active license in good standing with training, experience and testing that substantially meet or exceed Georgia requirements.
- Reciprocity option
- An applicant who independently meets all O.C.G.A. 43-44-46 conditions has the separate statutory reciprocity route without examination.
Reapplication after automatic termination
- Age
- At least 18 years of age.
- Application
- Submit the prescribed application and applicable fees.
- Background check
- Authorize Georgia Crime Information Center and FBI background checks, supply classifiable fingerprints and requested information, and pay associated fees.
- Board discretion
- O.C.G.A. 43-44-48(c) permits the Board to require reapplication as a new applicant; the leaves describe the currently offered exams of that reapplication.
- Competency audiogram
- Submit a completed audiogram performed by the applicant.
- Competency evaluation
- Submit evaluation records showing interpretation of audiometric data, candidacy determination, and selection, programming and fitting competency.
- Competency fitting
- Submit documentation of earmold impressions or equivalent fitting procedures performed by the applicant.
- Expiration
- The forfeited license was not restored within one year and automatically terminated.
- Identity
- Provide a secure and verifiable identity document, an affidavit of lawful presence under O.C.G.A. 50-36-1, and required immigration documentation for a noncitizen.
- Older board examination instructions
- The March 4, 2022 Board application states: ❑ REQUIRED EXAMINATIONS: All applicants are required to pass the GA Jurisprudence (Laws & Rules), Audiogram, Practical exams, and the ILE (national written examination). The new statute defines initial issuance through ILE, jurisprudence, and competency documentation; the additional Audiogram and Practical demands are retained here as lower-ranked instructions.
- Older rule retake instruction
- Rule 276-14-.03(b)(3) states: 3. For only dispenser applicants for reinstatement, applying after one (1) year of the effective date of the lapsed license, verification of the retake and passage of both the written and practical examinations required for licensure within one year prior to the date the reinstatement application is received by the Board administrative staff, and verification of twenty (20) hours of Board approved continuing education obtained within two years prior to the date the reinstatement application is received by the Board administrative staff (Refer to Board Rule 276-10 for continuing education information). The statute governs the new-applicant examination set; the older practical-examination demand is retained as a condition.
- Standing
- Provide satisfactory licensure history and good standing; prior denial must no longer present applicable grounds.
Licensure by reciprocity
- Age
- At least 18 years of age.
- Application
- Submit the prescribed application and applicable fees.
- Background check
- Authorize Georgia Crime Information Center and FBI background checks, supply classifiable fingerprints and requested information, and pay associated fees.
- Equivalent requirements
- Demonstrate that the other jurisdiction maintains equivalent or more stringent qualifications and a competency-determination program.
- Identity
- Provide a secure and verifiable identity document, an affidavit of lawful presence under O.C.G.A. 50-36-1, and required immigration documentation for a noncitizen.
- Older board examination instructions
- The March 4, 2022 Board application states: ❑ REQUIRED EXAMINATIONS: All applicants are required to pass the GA Jurisprudence (Laws & Rules), Audiogram, Practical exams, and the ILE (national written examination). The new statute defines initial issuance through ILE, jurisprudence, and competency documentation; the additional Audiogram and Practical demands are retained here as lower-ranked instructions.
- Other jurisdiction license
- Hold and verify a current, unsuspended and unrevoked prescription hearing aid dispenser license in another jurisdiction.
- Reciprocity
- Demonstrate that the issuing jurisdiction affords reciprocity to Georgia licensees.
Official no-examination sources
Effective from 2026-07-01.
- Georgia HB 1254, signed 2026 legislation
HB 1254 Section 4-6, O.C.G.A. 43-44-46(a), introduction
- Georgia HB 1254, signed 2026 legislation
HB 1254 Section 4-6, O.C.G.A. 43-44-46(a)(1)-(6)
Reinstatement while actively practicing in another jurisdiction
- Active practice
- Rule 276-14-.03(c) applies to a current, active licensee practicing full time in dispensing in another jurisdiction.
- Age
- At least 18 years of age.
- Application
- Submit the prescribed application and applicable fees.
- Background check
- Authorize Georgia Crime Information Center and FBI background checks, supply classifiable fingerprints and requested information, and pay associated fees.
- Board ce only instruction
- Rule 276-14-.03(c) states: (c) Individuals currently/actively licensed and practicing full time in the field of dispensing hearing aids in another state or jurisdiction filing for the reinstatement of a Georgia hearing aid dispensers license shall submit verification of twenty (20) hours of Board approved continuing education obtained within two years prior to the date of the reinstatement application (Refer to Board Rule 276-10 for continuing education information).
- Competency audiogram
- Submit a completed audiogram performed by the applicant.
- Competency evaluation
- Submit evaluation records showing interpretation of audiometric data, candidacy determination, and selection, programming and fitting competency.
- Competency fitting
- Submit documentation of earmold impressions or equivalent fitting procedures performed by the applicant.
- Continuing education
- Provide 20 hours of Board-approved continuing education obtained within two years before the reinstatement application.
- Identity
- Provide a secure and verifiable identity document, an affidavit of lawful presence under O.C.G.A. 50-36-1, and required immigration documentation for a noncitizen.
- Older board examination instructions
- The March 4, 2022 Board application states: ❑ REQUIRED EXAMINATIONS: All applicants are required to pass the GA Jurisprudence (Laws & Rules), Audiogram, Practical exams, and the ILE (national written examination). The new statute defines initial issuance through ILE, jurisprudence, and competency documentation; the additional Audiogram and Practical demands are retained here as lower-ranked instructions.
- Reapplication discretion
- After one year O.C.G.A. 43-44-48(c) permits new-applicant reapplication, so its ILE and jurisprudence examinations remain referenced; within one year use the separate restoration route.
- Standing
- Provide satisfactory licensure history and good standing; prior denial must no longer present applicable grounds.
Biennial renewal
- Application
- Submit the prescribed renewal application and fees.
- Board new license ce exception
- Rule 276-10-.01 states an exception for initially licensed dispensers licensed less than two years at renewal; O.C.G.A. 43-44-48(a) requires verification of 20 approved hours.
- Contact
- Keep mailing address and contact information current.
- Continuing education
- Verify completion of 20 hours of Board-approved continuing education.
- Renewal schedule
- Rule 276-14-.01 sets December 31 of odd-numbered years as expiry; consult the Board renewal process.
Official no-examination sources
Effective from 2026-07-01.
- Georgia HB 1254, signed 2026 legislation
HB 1254 Section 4-6, O.C.G.A. 43-44-48(a)-(b)
Restoration within one year
- Board discretion
- Rule 276-14-.03 states reinstatement is at the Board's sole discretion.
- Continuing education
- Provide renewal continuing education evidence; Rule 276-14-.03(b)(2) requires 20 hours obtained within two years before the application for a dispenser applying within one year.
- Fees
- Pay renewal and restoration fees.
- Forfeiture
- Apply within one year after expiration of a forfeited license.
Official no-examination sources
Effective from 2026-07-01.
- Georgia HB 1254, signed 2026 legislation
HB 1254 Section 4-6, O.C.G.A. 43-44-48(c), restoration within one year
- Georgia Rules and Regulations, Department 276
Rule 276-14-.03, reinstatement discretion
Georgia Jurisprudence (Laws and Rules) Examination — Hearing Aid Dealers and Dispensers
Examination outline
- O.C.G.A. Chapter 43-44, Article 3 — Georgia Hearing Aid Dispensers Act
- Georgia Rules and Regulations, Chapter 276-2 EXAMINATIONS.
- Georgia Rules and Regulations, Chapter 276-3 BILL OF SALE.
- Georgia Rules and Regulations, Chapter 276-4 DEFINITIONS.
- Georgia Rules and Regulations, Chapter 276-5 PROCEDURES, EQUIPMENT, CALIBRATIONS AND RECORDS.
- Georgia Rules and Regulations, Chapter 276-6 INTERSTATE VIOLATIONS.
- Georgia Rules and Regulations, Chapter 276-8 PROCEDURAL RULES.
- Georgia Rules and Regulations, Chapter 276-9 PERMITS.
- Georgia Rules and Regulations, Chapter 276-10 CONTINUING EDUCATION.
- Georgia Rules and Regulations, Chapter 276-12 MILITARY SPOUSES AND TRANSITIONING SERVICE MEMBERS.
- Georgia Rules and Regulations, Chapter 276-13 UNPROFESSIONAL CONDUCT.
- Georgia Rules and Regulations, Chapter 276-14 RENEWAL AND REINSTATEMENT PROCESS.
- O.C.G.A. Chapter 43-1 — General Provisions
- O.C.G.A. Chapter 50-13 — Georgia Administrative Procedure Act
- 21 C.F.R. § 801.109 — Prescription devices
Examination sources
- Georgia HB 1254, signed 2026 legislation
HB 1254 Section 4-6, O.C.G.A. 43-44-45(a)(3)
- Georgia HB 1254, signed 2026 legislation
HB 1254 Section 4-6, O.C.G.A. 43-44-45(c)(2)
- Georgia HB 1254, signed 2026 legislation
HB 1254 Section 4-6, enumeration of Chapter 44 Article 3
- Georgia Rules and Regulations, Department 276
Department 276, Table of Contents, Chapter 276-2
- Georgia Rules and Regulations, Department 276
Department 276, Table of Contents, Chapters 276-4 through 276-12
- Georgia Rules and Regulations, Department 276
Department 276, Table of Contents, Chapters 276-13 through 276-14
- Georgia HB 1254, signed 2026 legislation
HB 1254 Section 4-6, O.C.G.A. 43-44-47(d)-(e), administrative procedure
- Georgia Rules and Regulations, Department 276
Rule 276-13-.01, general disciplinary statute
- Georgia Rules and Regulations, Department 276
Rule 276-8-.01, incorporation
- PSI Georgia Hearing Aid Dealers and Dispensers Candidate Information Bulletin
Bulletin, page 4, Laws and Rules Examination, passing threshold line 1
- PSI Georgia Hearing Aid Dealers and Dispensers Candidate Information Bulletin
Bulletin, page 4, Laws and Rules Examination, passing threshold line 2
- Georgia Rules and Regulations, Department 276
Rule 276-12-.01(b)(5)
- PSI Georgia Hearing Aid Dealers and Dispensers Candidate Information Bulletin
Bulletin, page 4, failed portion retake, first physical line
- PSI Georgia Hearing Aid Dealers and Dispensers Candidate Information Bulletin
Bulletin, page 4, failed portion retake, second physical line
International Licensing Examination for Hearing Healthcare Professionals
- Provider
- International Hearing Society (IHS); scheduled and paid through the TestWise system at testing centers
- Format
- Practice-based computer-delivered multiple-choice examination; most questions present a scenario; a few questions require selecting two (or three) correct answers to earn one point; dichotomous right/wrong scoring
- Exam questions
- 105 multiple-choice questions: 80 scored and 25 unscored pilot questions
- Time limit
- 120 minutes (two hours)
- Passing score
- Pass/Fail on the overall raw score against the IHS-recommended passing score; the licensing agency makes the final decision
- Exam fee
- $260.00 (USD) per examination appointment, including re-takes, plus applicable taxes
Examination outline
Domain 1. Conduct Patient/Client Assessment (21%) (21%)
- Objective 1.1 Apply infection control protocols (5%). Includes but is not limited to choosing appropriate infection control processes for tools and equipment; observing universal precautions for infection control; distinguishing between single- and multiple-use items; differentiating among sanitization, disinfection and sterilization processes; and identifying personal protective equipment.
- Objective 1.2 Apply otoscopic inspection protocols (5%). Includes but is not limited to observing safety protocols during otoscopy; identifying anatomical structures; identifying abnormalities through otoscopic inspection; and recognizing the presence of referral criteria. This objective helps provide evidence of the candidate’s ability to perform otoscopy.
- Objective 1.3 Utilize audiometric testing protocols (11%). Includes but is not limited to performing air and bone conduction threshold and suprathreshold testing; performing speech audiometry; performing effective masking; and applying principles to include interpreting results of tympanometry/immittance audiometry. This objective helps provide evidence of the candidate’s ability to perform audiometric testing and application of tympanometry.
Domain 2. Interpret and Apply Assessment Results (22%) (22%)
- Objective 2.1 Interpret and explain audiometric results (11%). Includes but is not limited to demonstrating an understanding of referral criteria; interpreting pure tone and speech testing results; identifying the need for additional testing; identifying the degree and configuration of hearing loss; and identifying the type of hearing loss.
- Objective 2.2 Determine candidacy for amplification (11%). Includes but is not limited to interpreting the case history and outlining contraindications to hearing instrument use.
Domain 3. Select Hearing Devices (18%) (18%)
- Objective 3.1 Select style and type of hearing instruments (9%). Includes but is not limited to establishing fitting goals and selecting specific hearing instruments based on test results, case history, and individual patient/client preferences and lifestyle; selecting electroacoustic and physical properties; and evaluating the need for accessory devices.
- Objective 3.2 Select earmold or other acoustic coupler (9%). Includes but is not limited to assessing physical properties of the outer ear, taking ear impressions, critiquing ear impressions, and selecting coupler based on patient/client needs.
Domain 4. Fit and Dispense Hearing Devices (20%) (20%)
- Objective 4.1 Utilize protocols to fit hearing instruments and other devices (10%). Includes but is not limited to confirming physical and acoustic integrity of hearing devices; programming and adjusting hearing devices; verifying physical fit and acoustic comfort; orienting patient/client to hearing instruments; and orienting patient/client to assistive devices. This objective helps provide evidence of the candidate’s ability to program and dispense hearing instruments and other devices.
- Objective 4.2 Verify fitting (5%). Includes but is not limited to selecting verification method based on patient/client; assessing physical and acoustic integrity of hearing devices; interpreting and explaining verification results; and modifying physical and acoustic parameters of device. This objective helps provide evidence of the candidate’s ability to perform fitting verification (e.g., speech mapping, REM).
- Objective 4.3 Validate fitting (5%). Includes but is not limited to selecting validation method based on patient/client; interpreting and explaining validation results; and modifying physical and acoustic parameters of device. This objective helps provide evidence of the candidate’s ability to perform fitting validation (e.g., questionnaire, self-assessment).
Domain 5. Provide Continuing Care (19%) (19%)
- Objective 5.1 Implement aural rehabilitation and counseling (8%). Includes but is not limited to demonstrating an understanding of the psychology of the hearing impaired; defining and managing patient/client expectations for improved communication; defining and managing family/caregiver expectations for improved communication; and identifying communication strategies.
- Objective 5.2 Apply instrument maintenance and troubleshooting protocols (9%). Includes but is not limited to employing hearing instrument cleaning procedures; performing listening checks on hearing instruments; troubleshooting acoustic properties of hearing instruments; and adjusting based upon changes in patient/client hearing loss and/or listening needs. This objective helps provide evidence of the candidate’s ability to maintain and troubleshoot instrument performance.
- Objective 5.3 Interpret electroacoustic analysis results (2%). Includes but is not limited to identifying need for electroacoustic analysis and comparing electroacoustic analysis of patient’s/client’s hearing instruments to fitting specifications.
Examination sources
- IHS — Competency Model for the International Licensing Examination for Hearing Healthcare Professionals
Title block (p. 1)
- IHS — Competency Model for the International Licensing Examination for Hearing Healthcare Professionals
Structure key, item D (p. 1)
- IHS — Competency Model for the International Licensing Examination for Hearing Healthcare Professionals
Domain 1 heading (p. 2)
- IHS — Competency Model for the International Licensing Examination for Hearing Healthcare Professionals
Domain 5, Objective 5.3 (p. 4)
- IHS — International Licensing Examination for Hearing Healthcare Professionals (ILE) web page
About the Exam
- IHS — International Licensing Examination for Hearing Healthcare Professionals (ILE) web page
About the Exam
- IHS — ILE Study Guide (January 2026)
After the Examination, Examination Scoring (p. 31)
- IHS — ILE Study Guide (January 2026)
Taking the Examination (p. 28)
- IHS — ILE Exam Results & Score Transfer web page
Topic/Domain Feedback
- IHS — ILE Exam Results & Score Transfer web page
Results
- IHS — International Licensing Examination for Hearing Healthcare Professionals (ILE) web page
Eligibility and Exam Scheduling
- IHS — ILE Study Guide (January 2026)
Before the Examination, Scheduling an Examination Appointment (p. 20)