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Indiana Hearing Instrument Specialist — Requirements & Free Practice

US-IN · License preparation

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Licenses, application pathways and examination requirements

Each license and applicant pathway has its own requirements and exemptions. Choosing practice questions does not determine your eligibility.

Hearing Aid Dealer Certificate of Registration

Indiana registration for fitting hearing aids and dispensing prescription hearing aids. Supervised hearing aid dealers in training are an exception under IC 25-20-1-2, not a separately issued training credential.

Licensing authority: Indiana Committee of Hearing Aid Dealer Examiners / Medical Licensing Board of Indiana · Application information

Renewal or reinstatement after continuing education compliance
No examination is required for this applicant pathway.
Credit
Remedial hours cannot also meet the hours for the period in which acquired under IC 25-1-4-7.
First Notice
Provide proof of compliance under IC 25-1-4-5(b)(1) or the applicable reinstatement statute; the Board renews in place of conditional status or reinstates under IC 25-1-4-5(e).
Repeat Notice
After a prior notice during the preceding license period, renewal/reinstatement may be denied. Restoration requires the imposed civil penalty, missing hours for the relevant period and compliance with the chapter under IC 25-1-4-6(b).

Official no-examination sources

Effective from 2026-09-22.

Reinstatement after addressing a child support bureau delinquency
No examination is required for this applicant pathway.
Bureau Notice
The Board must receive the bureau notice that the delinquency has been addressed before reinstating a registration placed on probation or suspended under IC 25-1-1.2-8.

Official no-examination sources

Effective from 2026-09-22.

Reinstatement following a child support court suspension
No examination is required for this applicant pathway.
Court Order
Petition the court that issued the suspension order; the Board cannot reinstate until that court authorizes reinstatement.
Effective Timing
The notice states that suspension terminates ten business days after the Board receives the authorizing court order.

Official no-examination sources

Effective from 2026-09-22.

Registration by examination

All of the following:

Application
Submit the Committee application, required disclosures, legal name-change documents, and verifications of other licenses; pay the $60 nonrefundable application fee and examination-owner charges.
Criminal History
No conviction of an act constituting disciplinary grounds under IC 25-1-9 or a crime directly bearing on competent practice; disclose and document positive application responses.
Education
High school graduation, high school equivalency certificate, or the specified Indiana GED diploma (IC 25-20-1-3(2)); submit educational documentation required by the application page.
Expired Emergency Scheme
IC 25-1-5.7-8 ends the temporary emergency scheme at expiration of the federal COVID-19 public health emergency, which the CDC confirms expired May 11, 2023; it is not a current credential on the evaluation date.
Historical Student Form
IC 25-20-1-5 is repealed; the student application, renewal and supervision rules expired January 1, 2020. Surviving temporary references are retained under a secondary-route note rather than treated as proof of present student issuance.
Minimum Age
At least 18 years old (IC 25-20-1-3(1)).
Personal Appearance
The Committee may request an appearance under 844 IAC 9-3-1(c).
Retakes
Failed written or practical examinations require a new application. A third written attempt requires personal appearance with the Indiana hearing aid dealer supervisor. Only failed practical segments are retaken.
Sequence
The Committee authorizes the written IHS examination after the application is complete; pass it before the practical examination.
Timing
844 IAC 9-3-1(d) requires an application at least 45 days before the examination. The current licensing page also directs practical applications or written results to arrive at least two weeks before the practical exam; follow both stated instructions.
Training Exception
IC 25-20-1-2 exempts supervised hearing aid dealers in training from holding their own certificate; it does not create a separate credential issuance route.
Volunteer Registry
IC 34-30-13-1.2(a)(1) exhaustively lists eligible licensed professions for the volunteer registry and does not list hearing aid dealers; volunteering does not supply a separate hearing aid dealer credential.
Military service applicant with an existing equivalent license
No examination is required for this applicant pathway.
Conduct
No act that would justify refusal, suspension or revocation in Indiana and no occupational-board complaint or investigation about unprofessional conduct or an alleged crime.
Credit
All relevant military experience counts; the Board considers the American Council on Education evaluation guide for academic equivalence (IC 25-1-17-6).
Eligibility
Military service applicant under IC 25-1-17.
Fees
Pay the required Committee fees.
Qualification
Hold a current equivalent or exceeding license, certification, registration or permit from another jurisdiction for at least one year.

Official no-examination sources

Effective from 2026-09-22.

Renewal after an out of state active duty extension
No examination is required for this applicant pathway.
Documentation
Submit discharge or government movement orders at renewal.
Eligibility
Called to out-of-state active duty with a license neither revoked, suspended, lapsed nor subject to complaint at entry; the license expires while on active duty and notice of expiration was not received before entry.
Extension
180 days after discharge or release; an illness, injury or disability related to duty may justify an extension up to 365 days after discharge or release.
Renewal
Complete the applicable renewal application, fees and continuing education within the extended period.

Official no-examination sources

Effective from 2026-09-22.

Military service applicant with equivalent occupational training
No examination is required for this applicant pathway.
Conduct
No act that would justify refusal, suspension or revocation in Indiana and no occupational-board complaint or investigation about unprofessional conduct or an alleged crime.
Credit
All relevant military experience counts; the Board considers the American Council on Education evaluation guide for academic equivalence (IC 25-1-17-6).
Eligibility
Military service applicant under IC 25-1-17.
Fees
Pay the required Committee fees.
Qualification
Complete military training, receive a military occupational specialty and perform it at a level substantially equivalent to or exceeding academic or experience requirements.

Official no-examination sources

Effective from 2026-09-22.

Military member, spouse or dependent with unlicensed occupational work experience
No examination is required for this applicant pathway.
Conduct
No disqualifying act, discipline or pending unprofessional-conduct or alleged-crime complaint/investigation; good standing with any regulating agency.
Credit
Relevant full-time, part-time, paid and volunteer military-family experience counts under IC 25-1-17-6.
Eligibility
Military member, military spouse or dependent.
Experience
At least three years of work in a jurisdiction that does not license the occupation, with scope similar to the Indiana licensed occupation as determined by the Board.
Fees
Pay the required Committee fees.

Official no-examination sources

Effective from 2026-09-22.

New examination application after revocation

All of the following:

Application
Submit the Committee application, required disclosures, legal name-change documents, and verifications of other licenses; pay the $60 nonrefundable application fee and examination-owner charges.
Criminal History
No conviction of an act constituting disciplinary grounds under IC 25-1-9 or a crime directly bearing on competent practice; disclose and document positive application responses.
Education
High school graduation, high school equivalency certificate, or the specified Indiana GED diploma (IC 25-20-1-3(2)); submit educational documentation required by the application page.
Minimum Age
At least 18 years old (IC 25-20-1-3(1)).
Personal Appearance
The Committee may request an appearance under 844 IAC 9-3-1(c).
Retakes
Failed written or practical examinations require a new application. A third written attempt requires personal appearance with the Indiana hearing aid dealer supervisor. Only failed practical segments are retaken.
Revocation
A revoked registration cannot be reinstated. A new license application is permitted only seven years after revocation (IC 25-1-9-12). This is a new examination application, not restoration of the revoked certificate.
Sequence
The Committee authorizes the written IHS examination after the application is complete; pass it before the practical examination.
Timing
844 IAC 9-3-1(d) requires an application at least 45 days before the examination. The current licensing page also directs practical applications or written results to arrive at least two weeks before the practical exam; follow both stated instructions.
Removal or modification of probation restrictions
No examination is required for this applicant pathway.
Hearing
The Board finds after a hearing that the deficiency has been remedied; IC 25-1-9-9(b) also permits modification when changed circumstances warrant it.
Ordinary Status
Continue ordinary registration validity, renewal and practice duties.

Official no-examination sources

Effective from 2026-09-22.

Registration by reciprocity under IC 25 1 21
No examination is required for this applicant pathway.
Application
Submit application, $60 fee, positive-response documentation, educational and legal-name-change documents described in the Committee reciprocity instructions.
Indiana Law Slot
IC 25-1-21-5(6) permits a relevant Indiana-law exam only if the occupational law requires the Board to administer one. IC 25-20-1-3 and 844 IAC 9-5-1 define a technical fitting examination; the Committee reciprocity application list imposes no identified Indiana-law exam.
Other License
Hold a current hearing aid dealer license or certificate from another state or US jurisdiction; satisfy substantial-equivalence/exceedance or the alternative education, applicable experience/supervision, and previous-examination conditions in IC 25-1-21-5(1). An examination required by the other jurisdiction is an applicant condition, not an Indiana requirement leaf.
Standing
No disqualifying acts, no unprofessional-conduct complaint or investigation, no discipline; submit the statutory sworn affidavit of good standing and lack of revocation, surrender under investigation, discipline, or pending unprofessional-conduct investigation.
Verification
Verify at least one current license for initial issuance and verify any remaining licenses before first renewal (IC 25-1-21-7).

Official no-examination sources

Effective from 2026-09-22.

Reinstatement of a certificate expired more than three years
No examination is required for this applicant pathway.
Application
Completed renewal application, current renewal and initial-application-equivalent reinstatement fees, continuing-education compliance or remedies, remediation and additional training appropriate to the elapsed time, and any other applicable non-fee statutory or rule requirement.
Committee Instructions
The licensing page asks for 20 continuing-education hours completed in the last two years, work-history letter, and verification of any license used to work elsewhere; it describes a total $100 fee and uses three or more years as its filing instruction.
Eligibility
Certificate expired more than three years; a suspended or revoked license does not use IC 25-1-8-6.
Investigation
The agency may delay reinstatement up to 120 days for investigation under IC 25-1-8-8; comply with orders or any personal appearance.

Official no-examination sources

Effective from 2026-09-22.

Reinstatement of a certificate expired three years or less
No examination is required for this applicant pathway.
Application
Completed renewal application, current renewal fee, reinstatement fee, and continuing-education sworn compliance statement or compliance remedies under IC 25-1-4-5 and -6.
Eligibility
A lapsed certificate, not a suspended or revoked one; no more than three years since expiry under IC 25-20-1-12(c).
Investigation
IC 25-1-8-8 permits a reinstatement investigation, personal appearance, conditional status or probation; satisfy any applicable order.

Official no-examination sources

Effective from 2026-09-22.

Biennial renewal
No examination is required for this applicant pathway.
Continuing Education
Registrants holding a certificate for at least 18 months must complete 20 hours of approved continuing education earned since the last renewal, or issuance for first renewal, and comply with IC 25-1-4-3 record and sworn-statement requirements.
Renewal
Renew by June 30 of each even-numbered year using the renewal form and $40 fee.

Official no-examination sources

Effective from 2026-09-22.

Probationary License — Hearing Aid Dealer

The restricted or probationary form authorized by IC 25-1-9-16 and disciplinary probation under IC 25-1-9-9; restrictions are individually set by the Committee.

Licensing authority: Indiana Committee of Hearing Aid Dealer Examiners / Medical Licensing Board of Indiana · Application information

Probation following a child support bureau order
No examination is required for this applicant pathway.
Delinquency
Pay the arrearage in full or establish the specified bureau payment plan with income withholding; the bureau must notify the Board within 20 days to avoid suspension.
Eligibility
An existing hearing aid dealer registration subject to a child-support bureau order.

Official no-examination sources

Effective from 2026-09-22.

Probation imposed on an existing registrant
No examination is required for this applicant pathway.
Conditions
Reporting, practice limitations, education under a preceptor or as directed, and required or prohibited acts as imposed under IC 25-1-9-9(a)(5).
Eligibility
Existing hearing aid dealer subject to disciplinary findings and a probation order.

Official no-examination sources

Effective from 2026-09-22.

Initial examination registration subject to probation

All of the following:

Application
Submit the Committee application, required disclosures, legal name-change documents, and verifications of other licenses; pay the $60 nonrefundable application fee and examination-owner charges.
Criminal History
No conviction of an act constituting disciplinary grounds under IC 25-1-9 or a crime directly bearing on competent practice; disclose and document positive application responses.
Disciplinary Eligibility
The Committee may deny or issue probationary registration for prior discipline or conduct directly bearing on competent Indiana practice, or prior unlicensed practice (IC 25-1-9-16).
Education
High school graduation, high school equivalency certificate, or the specified Indiana GED diploma (IC 25-20-1-3(2)); submit educational documentation required by the application page.
Minimum Age
At least 18 years old (IC 25-20-1-3(1)).
Personal Appearance
The Committee may request an appearance under 844 IAC 9-3-1(c).
Restrictions
Comply with individually imposed reporting, practice limitations, professional education, uncompensated community service, or other rehabilitation/public-interest conditions.
Retakes
Failed written or practical examinations require a new application. A third written attempt requires personal appearance with the Indiana hearing aid dealer supervisor. Only failed practical segments are retaken.
Sequence
The Committee authorizes the written IHS examination after the application is complete; pass it before the practical examination.
Timing
844 IAC 9-3-1(d) requires an application at least 45 days before the examination. The current licensing page also directs practical applications or written results to arrive at least two weeks before the practical exam; follow both stated instructions.
Agreed probation following delayed reinstatement
No examination is required for this applicant pathway.
Eligibility
Application for lapsed-license reinstatement under investigation; agreement with the Board following a personal appearance.
Reinstatement
Meet applicable IC 25-1-8-6 requirements and comply with the probation order under IC 25-1-8-8(b)(4).

Official no-examination sources

Effective from 2026-09-22.

Biennial renewal while on probation
No examination is required for this applicant pathway.
Probation
Continue to satisfy all conditions and restrictions in the probation order; renewal alone does not remove probation.
Renewal
Complete the ordinary registration renewal application, fee and applicable continuing education.

Official no-examination sources

Effective from 2026-09-22.

Hearing Aid Dealer Practical Examination

Provider
Indiana Committee of Hearing Aid Dealer Examiners
Format
Oral question sections and practical performance stations
Passing score
Pass the required practical segments; candidates retake failed segments only
Examination outline
  • AUDIOMETRIC ORAL
    • Basic acoustics
    • Hearing measurement
    • Audiogram configurations
    • Basic anatomy and physiology of the ear (outer, middle and inner)
    • Etiology or causes of hearing loss
    • Hearing aid fitting protocol
  • INSTRUMENTATION
    • Evaluation of hearing instruments for defects or operational malfunctions
  • MEDICAL ORAL
    • Determination of medical referral prior to hearing aid fitting
    • Identification of possible ear pathology from audiograms
    • Red flag concerns requiring physician referral
    • Common types of medical treatment for ear pathology
  • AUDIOMETRIC RESPONSE SIMULATOR
    • Pure tone air conduction
    • Bone conduction
    • Masking when required
  • EAR IMPRESSION
    • Sanitary procedures before taking an ear impression
    • Taking an impression appropriate for severe hearing impairment
Examination sources

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