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Oklahoma Hearing Instrument Specialist — Requirements & Free Practice

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Hearing Aid Dealer and Fitter License

Individual license for the fitting and sale of hearing aids regulated by OAC 310:266.

Licensing authority: Oklahoma State Department of Health, Consumer Health Service · Application information

Timely annual license renewal
No examination is required for this applicant pathway.
Continuing Education
Evidence of ten clock hours in the hearing sciences completed during the previous year, approved by the International Hearing Society or Oklahoma Hearing Aid Dispenser's Association (OAC 310:266-5-7).
Documentation
Submit required documentation, including continuing education, updated addresses if applicable, a current receipt or contract template, a patient file template, audiometer conformity verification dated within the last three years, the percentage of clients tested under an exception, and sponsor information with temporary-permit supervision dates (OAC 310:266-5-6(b)).
Fee
Annual renewal fee of $50 under OAC 310:266-7-1(a)(6).
License Status
Existing license renewed before expiration.
Posting
Keep the current licensure certificate conspicuously posted in every place of business (OAC 310:266-5-6(a)).

Official no-examination sources

Effective from 2023-09-11.

Initial licensure by examination

All of the following:

Application
Submit a complete license application through the licensing portal and pay the $50 initial application fee (OAC 310:266-5-5, 310:266-7-1 and Department licensing instructions).
Background Check
Submit to a background check; a criminal record does not itself bar licensing and may be considered with other information (OAC 310:266-3-1(a)(3), (b)).
Education
A GED or high school diploma (OAC 310:266-3-1(a)(2)).
Examination Costs
Applicants are responsible for the full costs of examinations, re-examinations and background checks under 63 O.S. §1-1751; the CareerTech implementation states no fee is collected onsite from the candidate.
Lawful Presence
Submit an affidavit of lawful presence (Department licensing instructions).
Minimum Age
At least eighteen years old (OAC 310:266-3-1(a)(1)).
Open Written Approval
The Department may approve another written examination in addition to the named ILE and the currently offered CareerTech examination (OAC 310:266-5-3(c), 5-4(b)).
Practical Retesting
Wait at least seven days to apply to retake a failed practical section; previously passed sections need not be retaken if all sections are passed within the allowable timeframe (OAC 310:266-5-3(b)).
Supervision
A temporary permit holder receives direct on-site supervision until every practical section is passed, then indirect supervision until fully licensed (OAC 310:266-5-1(c)-(d)).
Three Failures
Three failures of a practical section or of the written examination cause temporary-permit revocation and a minimum one-year wait from the last failed testing date before reapplication (OAC 310:266-5-3(e)).
Training
Complete training with a licensed sponsor and obtain the sponsor's readiness attestation before the practical examination (OAC 310:266-5-3(a) and Department licensing instructions).
Written Authorization
The CareerTech examination requires original OSDH authorization and accepted current government-issued photo identification. Approval expires six months from the initial application date; retesting requires renewed OSDH authorization (CareerTech testing manual, page 25).
Written Eligibility
Submission of the practical-examination application establishes eligibility for the written examination (OAC 310:266-5-3(c)).
Late renewal of a license expired for no more than five years
No examination is required for this applicant pathway.
Continuing Education
Evidence of ten clock hours in the hearing sciences completed during the previous year, approved by the International Hearing Society or Oklahoma Hearing Aid Dispenser's Association (OAC 310:266-5-7).
Documentation
Submit required documentation, including continuing education, updated addresses if applicable, a current receipt or contract template, a patient file template, audiometer conformity verification dated within the last three years, the percentage of clients tested under an exception, and sponsor information with temporary-permit supervision dates (OAC 310:266-5-6(b)).
Fee
Renewal fee of $100 after the thirty-day grace period under OAC 310:266-7-1(a)(8).
License Status
License expired beyond the thirty-day grace period but no more than five years; OAC 310:266-5-6(a) reserves repeat initial licensure for expiration greater than five years.
Posting
Keep the current licensure certificate conspicuously posted in every place of business (OAC 310:266-5-6(a)).

Official no-examination sources

Effective from 2023-09-11.

Reciprocity for active duty military personnel and their spouses
No examination is required for this applicant pathway.
Application
Submit the Department's reciprocity application and register with the Department (OAC 310:266-3-2(b), (d)).
Background Check
Submit to a background check; a criminal record does not itself bar licensing and may be considered with other information (OAC 310:266-3-1(a)(3), (b)).
Education
A GED or high school diploma (OAC 310:266-3-1(a)(2)).
Equivalency
The Department determines that the other jurisdiction's requirements are equivalent or higher and its qualification program equivalent or stricter; issuance is discretionary (OAC 310:266-3-2(a)).
Fees
No application fee or license fee for the first year under ODH Form 915; the rule exempts fees for the first period of issuance.
Military Documentation
ODH Form 915 calls for transfer orders or honorable discharge to Oklahoma and a valid military ID, submitted with the original application documentation.
Military Status
Active-duty military personnel and their spouses seeking reciprocal licensure are exempt from fees for the first issuance period (OAC 310:266-3-2(e)).
Minimum Age
At least eighteen years old (OAC 310:266-3-1(a)(1)).
Other License
Hold a current, unsuspended and unrevoked certificate or license to fit and sell hearing aids in another state or jurisdiction (OAC 310:266-3-2(a)).
Verification
Provide the Out-of-State Licensure Verification form completed by the licensing jurisdiction (OAC 310:266-3-2(c)).

Official no-examination sources

Effective from 2023-09-11.

Licensure by reciprocity
No examination is required for this applicant pathway.
Application
Submit the Department's reciprocity application and register with the Department (OAC 310:266-3-2(b), (d)).
Background Check
Submit to a background check; a criminal record does not itself bar licensing and may be considered with other information (OAC 310:266-3-1(a)(3), (b)).
Education
A GED or high school diploma (OAC 310:266-3-1(a)(2)).
Equivalency
The Department determines that the other jurisdiction's requirements are equivalent or higher and its qualification program equivalent or stricter; issuance is discretionary (OAC 310:266-3-2(a)).
Fees
Pay the initial license application fee of $50 unless the military fee waiver applies (OAC 310:266-7-1(a)(5), 3-2(e)).
Minimum Age
At least eighteen years old (OAC 310:266-3-1(a)(1)).
Other License
Hold a current, unsuspended and unrevoked certificate or license to fit and sell hearing aids in another state or jurisdiction (OAC 310:266-3-2(a)).
Verification
Provide the Out-of-State Licensure Verification form completed by the licensing jurisdiction (OAC 310:266-3-2(c)).

Official no-examination sources

Effective from 2023-09-11.

License renewal within the thirty day grace period
No examination is required for this applicant pathway.
Continuing Education
Evidence of ten clock hours in the hearing sciences completed during the previous year, approved by the International Hearing Society or Oklahoma Hearing Aid Dispenser's Association (OAC 310:266-5-7).
Documentation
Submit required documentation, including continuing education, updated addresses if applicable, a current receipt or contract template, a patient file template, audiometer conformity verification dated within the last three years, the percentage of clients tested under an exception, and sponsor information with temporary-permit supervision dates (OAC 310:266-5-6(b)).
Fee
Renewal fee of $75 within the thirty-day grace period under OAC 310:266-7-1(a)(7).
License Status
Expired license renewed within the thirty-day grace period.
Posting
Keep the current licensure certificate conspicuously posted in every place of business (OAC 310:266-5-6(a)).

Official no-examination sources

Effective from 2023-09-11.

Restoration of a license expired for more than five years

All of the following:

Application
Submit a complete license application through the licensing portal and pay the $50 initial application fee (OAC 310:266-5-5, 310:266-7-1 and Department licensing instructions).
Background Check
Submit to a background check; a criminal record does not itself bar licensing and may be considered with other information (OAC 310:266-3-1(a)(3), (b)).
Education
A GED or high school diploma (OAC 310:266-3-1(a)(2)).
Examination Costs
Applicants are responsible for the full costs of examinations, re-examinations and background checks under 63 O.S. §1-1751; the CareerTech implementation states no fee is collected onsite from the candidate.
Expired License
A license expired for more than five years requires the initial licensure process under OAC 310:266-5-6(a).
Lawful Presence
Submit an affidavit of lawful presence (Department licensing instructions).
Minimum Age
At least eighteen years old (OAC 310:266-3-1(a)(1)).
Open Written Approval
The Department may approve another written examination in addition to the named ILE and the currently offered CareerTech examination (OAC 310:266-5-3(c), 5-4(b)).
Practical Retesting
Wait at least seven days to apply to retake a failed practical section; previously passed sections need not be retaken if all sections are passed within the allowable timeframe (OAC 310:266-5-3(b)).
Supervision
A temporary permit holder receives direct on-site supervision until every practical section is passed, then indirect supervision until fully licensed (OAC 310:266-5-1(c)-(d)).
Three Failures
Three failures of a practical section or of the written examination cause temporary-permit revocation and a minimum one-year wait from the last failed testing date before reapplication (OAC 310:266-5-3(e)).
Training
Complete training with a licensed sponsor and obtain the sponsor's readiness attestation before the practical examination (OAC 310:266-5-3(a) and Department licensing instructions).
Written Authorization
The CareerTech examination requires original OSDH authorization and accepted current government-issued photo identification. Approval expires six months from the initial application date; retesting requires renewed OSDH authorization (CareerTech testing manual, page 25).
Written Eligibility
Submission of the practical-examination application establishes eligibility for the written examination (OAC 310:266-5-3(c)).

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

HADF Practical Exam

This assessment does not have a question bank.

Examination outline
  • Technique
    • Pure tone audiometry
    • Recorded speech audiometry
  • Masking
  • Earmold impressions
  • Detecting damage and defects
Examination sources

Hearing Aid Fitter/Dealer

Provider
CareerTech Testing Center / Health Certification Project
Format
Written examination
Exam questions
105 questions
Time limit
2 hours
Passing score
70% or higher
Exam fee
No fee collected from candidate onsite
Examination outline
  • Duty A: Anatomy and Function (21%)
  • Duty B: Disorders (15%)
  • Duty C: Acoustics (8%)
  • Duty D: Testing Processes (17%)
  • Duty E: Hearing Instruments (33%)
  • Duty F: Fitting Rationale – Processes and Procedures (3%)
  • Duty G: Disease and Infection Control (1%)
  • Duty H: HIPPA (2%)
Examination sources