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Utah Hearing Instrument Specialist — Requirements & Free Practice

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Hearing Instrument Intern

Intern classification under 58-46a-301(2)(b).

Licensing authority: Utah Division of Professional Licensing · Application information

Initial intern licensure with direct supervision
Utah Hearing Instrument Specialists Law and Rule Examination
Application
Submit the DOPL application, fee and qualifying disclosures.
Supervision
Provide evidence acceptable to DOPL of practice under an approved supervising hearing instrument specialist or audiologist; direct supervision is the default under 58-46a-302.5(1).
Licensure by endorsement: individualized deficiency evaluation
Utah Hearing Instrument Specialists Law and Rule Examination
Board guidance
The specialist v20250210 endorsement application requests verification of a license held at least one year from a jurisdiction designated equivalent; its law-exam requirement applies to all specialist applicants. Intern endorsement is authorized by the general statute for each license type and remains subject to DOPL evaluation.
Division determination
Subject to DOPL review of identity, qualifications, good standing, disciplinary history, and applicable fees.
Eligibility
DOPL evaluates a previously licensed applicant not satisfying ordinary endorsement for substantial similarity or additional education/experience under 58-1-302(6)(a).
Examination discretion
R156-1-302(4) permits DOPL to require one or more examinations otherwise required for this profession; the rule does not identify a separate examination. Applicant-specific additional demands remain conditions.
Licensure by endorsement: licensed applicant competency evaluation
Utah Hearing Instrument Specialists Law and Rule Examination
Board guidance
The specialist v20250210 endorsement application requests verification of a license held at least one year from a jurisdiction designated equivalent; its law-exam requirement applies to all specialist applicants. Intern endorsement is authorized by the general statute for each license type and remains subject to DOPL evaluation.
Division determination
Subject to DOPL review of identity, qualifications, good standing, disciplinary history, and applicable fees.
Eligibility
DOPL determines education, credentialing examination, experience and skills show competency; at least one year of licensed practice under 58-1-302(3)(a)(i).
Examination discretion
R156-1-302(4) permits DOPL to require one or more examinations otherwise required for this profession; the rule does not identify a separate examination. Applicant-specific additional demands remain conditions.
Licensure by endorsement: equivalent requirements when licensed
Utah Hearing Instrument Specialists Law and Rule Examination
Board guidance
The specialist v20250210 endorsement application requests verification of a license held at least one year from a jurisdiction designated equivalent; its law-exam requirement applies to all specialist applicants. Intern endorsement is authorized by the general statute for each license type and remains subject to DOPL evaluation.
Division determination
Subject to DOPL review of identity, qualifications, good standing, disciplinary history, and applicable fees.
Eligibility
DOPL determines the other jurisdiction licensure requirements at issue were substantially similar to current Utah requirements under 58-1-302(3)(a)(ii).
Examination discretion
R156-1-302(4) permits DOPL to require one or more examinations otherwise required for this profession; the rule does not identify a separate examination. Applicant-specific additional demands remain conditions.
Licensure by endorsement: never licensed applicant with equivalent education or experience
Utah Hearing Instrument Specialists Law and Rule Examination
Board guidance
The specialist v20250210 endorsement application requests verification of a license held at least one year from a jurisdiction designated equivalent; its law-exam requirement applies to all specialist applicants. Intern endorsement is authorized by the general statute for each license type and remains subject to DOPL evaluation.
Division determination
Subject to DOPL review of identity, qualifications, good standing, disciplinary history, and applicable fees.
Eligibility
Applicant has never been licensed; education or relevant experience acquired elsewhere and the education, credentialing examination and experience are substantially similar under 58-1-302(3)(b).
Examination discretion
R156-1-302(4) permits DOPL to require one or more examinations otherwise required for this profession; the rule does not identify a separate examination. Applicant-specific additional demands remain conditions.
Licensure by endorsement: similar US license and one year experience
Utah Hearing Instrument Specialists Law and Rule Examination
Board guidance
The specialist v20250210 endorsement application requests verification of a license held at least one year from a jurisdiction designated equivalent; its law-exam requirement applies to all specialist applicants. Intern endorsement is authorized by the general statute for each license type and remains subject to DOPL evaluation.
Division determination
Subject to DOPL review of identity, qualifications, good standing, disciplinary history, and applicable fees.
Eligibility
A license from another US jurisdiction encompasses a similar scope; at least one year of experience and good standing under 58-1-302(2).
Examination discretion
R156-1-302(4) permits DOPL to require one or more examinations otherwise required for this profession; the rule does not identify a separate examination. Applicant-specific additional demands remain conditions.
Intern practice under indirect supervision

All of the following:

Application
Submit the DOPL application, fee and qualifying disclosures.
Course
Successfully complete the IHS Distance Learning for Professionals in Hearing Health Sciences Course or a division-approved equivalent college program. The Board page states that this course has an accompanying examination; the identified educational program is an applicant condition.
Retake
Pass each practical section. Failed sections may be retaken within 60 days; if all failed sections are not passed in that period the entire practical examination must be retaken.
Supervision
The intern must qualify for indirect supervision under 58-46a-302.5(2) and R156-46a-302.5(3).
Unregistered nationwide course examination
DOPL identifies an accompanying exam for the IHS Distance Learning for Professionals Hearing Health Sciences Course. No version of that course examination is supplied in the frozen nationwide context.
Military deployment license extension and renewal
No examination is required for this applicant pathway.
Military
Qualifying active duty or deployment extends a Title 58 license until 90 days after discharge or the last deployment date. Request renewal within 90 days of termination of orders and provide official activation/deployment and discharge orders.
Renewal
Meet ordinary renewal requirements except continuing education or training, with fees waived; routine annual training, in-state orders and orders without out-of-state relocation do not qualify.

Official no-examination sources

Effective from 2026-09-22.

Reinstatement after expiration
Utah Hearing Instrument Specialists Law and Rule Examination
Expiration window
Within 30 days after expiration: renewal form, renewal fee and late fee.
Intern retaking
R156-46a-302(2) requires an expired intern to retake the law examination before reapplying as an intern.
Renewal requirements
{"competence":"Attest to maintaining competence and safe practice; provide competence evidence at DOPL request.","continuing_education":"Specialists complete 16 continuing education hours or maintain current NBC-HIS certification and retain documentation for two years. Maintaining certification is a renewal condition, without an identified new examination.","cycle":"Specialist licenses follow the two-year cycle ending September 30 of even years; intern license term is three years.","intern_extension":"Intern renewal for three years requires satisfactory progress toward specialist licensure and a hardship beyond the intern control under R156-46a-303(3)."}
Reinstatement after expiration
Utah Hearing Instrument Specialists Law and Rule Examination
Expiration window
31 days through two years after expiration: renewal form, renewal and reinstatement fees.
Intern retaking
R156-46a-302(2) requires an expired intern to retake the law examination before reapplying as an intern.
Renewal requirements
{"competence":"Attest to maintaining competence and safe practice; provide competence evidence at DOPL request.","continuing_education":"Specialists complete 16 continuing education hours or maintain current NBC-HIS certification and retain documentation for two years. Maintaining certification is a renewal condition, without an identified new examination.","cycle":"Specialist licenses follow the two-year cycle ending September 30 of even years; intern license term is three years.","intern_extension":"Intern renewal for three years requires satisfactory progress toward specialist licensure and a hardship beyond the intern control under R156-46a-303(3)."}
Reinstatement after disciplinary term
Utah Hearing Instrument Specialists Law and Rule Examination
Current qualifications
Demonstrate current initial-licensure qualifications and current competence; comply with the disciplinary order and pay applicable fees and outstanding fines.
Initial conditions
{"application":"Submit the DOPL application, fee and qualifying disclosures.","supervision":"Provide evidence acceptable to DOPL of practice under an approved supervising hearing instrument specialist or audiologist; direct supervision is the default under 58-46a-302.5(1)."}
Reinstatement with continuous qualifying practice
No examination is required for this applicant pathway.
Application window
Submit within six months after reestablishing Utah domicile or ending full-time government service, document renewal qualifications, and pay applicable fees.
Intern lower rule
For interns, R156-46a-302(2) separately says an expired intern shall retake the law exam before reapplying. The express no-examination statute 58-1-308(6)(b) controls this continuous-practice reinstatement route.
Practice
Continuous professional practice in full-time US government service or under a license elsewhere since Utah expiration.

Official no-examination sources

Effective from 2026-09-22.

Reinstatement more than two years after expiration without continuous qualifying practice
Utah Hearing Instrument Specialists Law and Rule Examination
Current qualifications
Submit an initial-licensure application demonstrating all current qualifications, and new applicant fee.
Expiration
Expired for more than two years without qualifying active professional practice.
Initial conditions
{"application":"Submit the DOPL application, fee and qualifying disclosures.","supervision":"Provide evidence acceptable to DOPL of practice under an approved supervising hearing instrument specialist or audiologist; direct supervision is the default under 58-46a-302.5(1)."}
Relicensure after surrender while not in good standing
Utah Hearing Instrument Specialists Law and Rule Examination
Current qualifications
Initial-licensure qualifications, competence evidence, applicable new application fee and outstanding fines; comply with written surrender agreement.
Initial conditions
{"application":"Submit the DOPL application, fee and qualifying disclosures.","supervision":"Provide evidence acceptable to DOPL of practice under an approved supervising hearing instrument specialist or audiologist; direct supervision is the default under 58-46a-302.5(1)."}
Relicensure after revocation
Utah Hearing Instrument Specialists Law and Rule Examination
Current qualifications
Demonstrate current initial-licensure qualifications and current competence; comply with the disciplinary order and pay applicable fees and outstanding fines.
Initial conditions
{"application":"Submit the DOPL application, fee and qualifying disclosures.","supervision":"Provide evidence acceptable to DOPL of practice under an approved supervising hearing instrument specialist or audiologist; direct supervision is the default under 58-46a-302.5(1)."}
Renewal
No examination is required for this applicant pathway.
Competence
Attest to maintaining competence and safe practice; provide competence evidence at DOPL request.
Continuing education
Specialists complete 16 continuing education hours or maintain current NBC-HIS certification and retain documentation for two years. Maintaining certification is a renewal condition, without an identified new examination.
Cycle
Specialist licenses follow the two-year cycle ending September 30 of even years; intern license term is three years.
Intern extension
Intern renewal for three years requires satisfactory progress toward specialist licensure and a hardship beyond the intern control under R156-46a-303(3).

Official no-examination sources

Effective from 2026-09-22.

Probationary Hearing Instrument Intern License

License form under 58-1-304; restrictions or probation are applicant-specific conditions.

Licensing authority: Utah Division of Professional Licensing · Application information

Initial issuance with probationary conditions
Utah Hearing Instrument Specialists Law and Rule Examination
Eligibility
Applicant appears to meet initial qualifications but conduct warrants monitored practice, restrictions or conditions to protect public safety.
Initial conditions
{"application":"Submit the DOPL application, fee and qualifying disclosures.","supervision":"Provide evidence acceptable to DOPL of practice under an approved supervising hearing instrument specialist or audiologist; direct supervision is the default under 58-46a-302.5(1)."}
License conditions
Comply with DOPL restrictions or probation and applicable order.
Renewal with probationary conditions
No examination is required for this applicant pathway.
Eligibility
Applicant meets renewal qualifications, with conduct warranting restricted or probationary licensure under 58-1-304.
License conditions
Comply with DOPL order and normal renewal qualifications; an order may require additional competency evidence.

Official no-examination sources

Effective from 2026-09-22.

Probationary Hearing Instrument Specialist License

License form under 58-1-304; restrictions or probation are applicant-specific conditions.

Licensing authority: Utah Division of Professional Licensing · Application information

Initial issuance with probationary conditions

All of the following:

Eligibility
Applicant appears to meet initial qualifications but conduct warrants monitored practice, restrictions or conditions to protect public safety.
Initial conditions
{"application":"Submit the DOPL application and fee, identity information, and supporting documentation for qualifying-questionnaire disclosures.","certification":"The DOPL application v20250210 asks initial applicants for current NBC-HIS certification or an approved equivalent; the specialist application page asks for graduation or other-jurisdiction verification and NCE with full board certification.","intern_license":"Surrender any hearing instrument intern license upon specialist licensure.","prior_law_score":"DOPL states: \"*Not required if you previously submitted a passing score as an Intern.\" The currently offered examination remains a leaf because its passing score is required.","source_disagreement":"The DOPL current exam page states \"This profession requires the following two examinations:\" and names the Utah law examination and NCE. The 2024 Prov handbook instead says specialists need the IHS Practical examination, Utah law examination, and ILE. Under the contract same-rank disagreement rule the named currently offered assessments remain referenced; the two sources do not establish an A/B alternative. Applicants should consult DOPL about which examinations it will require in their circumstances.","training":"Complete at least six months of training with an approved supervising hearing instrument specialist or audiologist under 58-46a-302(1)(d)."}
License conditions
Comply with DOPL restrictions or probation and applicable order.
Renewal with probationary conditions
No examination is required for this applicant pathway.
Eligibility
Applicant meets renewal qualifications, with conduct warranting restricted or probationary licensure under 58-1-304.
License conditions
Comply with DOPL order and normal renewal qualifications; an order may require additional competency evidence.

Official no-examination sources

Effective from 2026-09-22.

Restricted Hearing Instrument Intern License

License form under 58-1-304; restrictions or probation are applicant-specific conditions.

Licensing authority: Utah Division of Professional Licensing · Application information

Initial issuance with restricted conditions
Utah Hearing Instrument Specialists Law and Rule Examination
Eligibility
Applicant appears to meet initial qualifications but conduct warrants monitored practice, restrictions or conditions to protect public safety.
Initial conditions
{"application":"Submit the DOPL application, fee and qualifying disclosures.","supervision":"Provide evidence acceptable to DOPL of practice under an approved supervising hearing instrument specialist or audiologist; direct supervision is the default under 58-46a-302.5(1)."}
License conditions
Comply with DOPL restrictions or probation and applicable order.
Renewal with restricted conditions
No examination is required for this applicant pathway.
Eligibility
Applicant meets renewal qualifications, with conduct warranting restricted or probationary licensure under 58-1-304.
License conditions
Comply with DOPL order and normal renewal qualifications; an order may require additional competency evidence.

Official no-examination sources

Effective from 2026-09-22.

Restricted Hearing Instrument Specialist License

License form under 58-1-304; restrictions or probation are applicant-specific conditions.

Licensing authority: Utah Division of Professional Licensing · Application information

Initial issuance with restricted conditions

All of the following:

Eligibility
Applicant appears to meet initial qualifications but conduct warrants monitored practice, restrictions or conditions to protect public safety.
Initial conditions
{"application":"Submit the DOPL application and fee, identity information, and supporting documentation for qualifying-questionnaire disclosures.","certification":"The DOPL application v20250210 asks initial applicants for current NBC-HIS certification or an approved equivalent; the specialist application page asks for graduation or other-jurisdiction verification and NCE with full board certification.","intern_license":"Surrender any hearing instrument intern license upon specialist licensure.","prior_law_score":"DOPL states: \"*Not required if you previously submitted a passing score as an Intern.\" The currently offered examination remains a leaf because its passing score is required.","source_disagreement":"The DOPL current exam page states \"This profession requires the following two examinations:\" and names the Utah law examination and NCE. The 2024 Prov handbook instead says specialists need the IHS Practical examination, Utah law examination, and ILE. Under the contract same-rank disagreement rule the named currently offered assessments remain referenced; the two sources do not establish an A/B alternative. Applicants should consult DOPL about which examinations it will require in their circumstances.","training":"Complete at least six months of training with an approved supervising hearing instrument specialist or audiologist under 58-46a-302(1)(d)."}
License conditions
Comply with DOPL restrictions or probation and applicable order.
Renewal with restricted conditions
No examination is required for this applicant pathway.
Eligibility
Applicant meets renewal qualifications, with conduct warranting restricted or probationary licensure under 58-1-304.
License conditions
Comply with DOPL order and normal renewal qualifications; an order may require additional competency evidence.

Official no-examination sources

Effective from 2026-09-22.

Hearing Instrument Specialist

Ordinary specialist classification under 58-46a-301(2)(a).

Licensing authority: Utah Division of Professional Licensing · Application information

Licensure by endorsement: individualized deficiency evaluation
Utah Hearing Instrument Specialists Law and Rule Examination
Board guidance
The specialist v20250210 endorsement application requests verification of a license held at least one year from a jurisdiction designated equivalent; its law-exam requirement applies to all specialist applicants. Intern endorsement is authorized by the general statute for each license type and remains subject to DOPL evaluation.
Division determination
Subject to DOPL review of identity, qualifications, good standing, disciplinary history, and applicable fees.
Eligibility
DOPL evaluates a previously licensed applicant not satisfying ordinary endorsement for substantial similarity or additional education/experience under 58-1-302(6)(a).
Examination discretion
R156-1-302(4) permits DOPL to require one or more examinations otherwise required for this profession; the rule does not identify a separate examination. Applicant-specific additional demands remain conditions.
Licensure by endorsement: licensed applicant competency evaluation
Utah Hearing Instrument Specialists Law and Rule Examination
Board guidance
The specialist v20250210 endorsement application requests verification of a license held at least one year from a jurisdiction designated equivalent; its law-exam requirement applies to all specialist applicants. Intern endorsement is authorized by the general statute for each license type and remains subject to DOPL evaluation.
Division determination
Subject to DOPL review of identity, qualifications, good standing, disciplinary history, and applicable fees.
Eligibility
DOPL determines education, credentialing examination, experience and skills show competency; at least one year of licensed practice under 58-1-302(3)(a)(i).
Examination discretion
R156-1-302(4) permits DOPL to require one or more examinations otherwise required for this profession; the rule does not identify a separate examination. Applicant-specific additional demands remain conditions.
Licensure by endorsement: equivalent requirements when licensed
Utah Hearing Instrument Specialists Law and Rule Examination
Board guidance
The specialist v20250210 endorsement application requests verification of a license held at least one year from a jurisdiction designated equivalent; its law-exam requirement applies to all specialist applicants. Intern endorsement is authorized by the general statute for each license type and remains subject to DOPL evaluation.
Division determination
Subject to DOPL review of identity, qualifications, good standing, disciplinary history, and applicable fees.
Eligibility
DOPL determines the other jurisdiction licensure requirements at issue were substantially similar to current Utah requirements under 58-1-302(3)(a)(ii).
Examination discretion
R156-1-302(4) permits DOPL to require one or more examinations otherwise required for this profession; the rule does not identify a separate examination. Applicant-specific additional demands remain conditions.
Licensure by endorsement: never licensed applicant with equivalent education or experience
Utah Hearing Instrument Specialists Law and Rule Examination
Board guidance
The specialist v20250210 endorsement application requests verification of a license held at least one year from a jurisdiction designated equivalent; its law-exam requirement applies to all specialist applicants. Intern endorsement is authorized by the general statute for each license type and remains subject to DOPL evaluation.
Division determination
Subject to DOPL review of identity, qualifications, good standing, disciplinary history, and applicable fees.
Eligibility
Applicant has never been licensed; education or relevant experience acquired elsewhere and the education, credentialing examination and experience are substantially similar under 58-1-302(3)(b).
Examination discretion
R156-1-302(4) permits DOPL to require one or more examinations otherwise required for this profession; the rule does not identify a separate examination. Applicant-specific additional demands remain conditions.
Licensure by endorsement: similar US license and one year experience
Utah Hearing Instrument Specialists Law and Rule Examination
Board guidance
The specialist v20250210 endorsement application requests verification of a license held at least one year from a jurisdiction designated equivalent; its law-exam requirement applies to all specialist applicants. Intern endorsement is authorized by the general statute for each license type and remains subject to DOPL evaluation.
Division determination
Subject to DOPL review of identity, qualifications, good standing, disciplinary history, and applicable fees.
Eligibility
A license from another US jurisdiction encompasses a similar scope; at least one year of experience and good standing under 58-1-302(2).
Examination discretion
R156-1-302(4) permits DOPL to require one or more examinations otherwise required for this profession; the rule does not identify a separate examination. Applicant-specific additional demands remain conditions.
Initial licensure

All of the following:

Application
Submit the DOPL application and fee, identity information, and supporting documentation for qualifying-questionnaire disclosures.
Certification
The DOPL application v20250210 asks initial applicants for current NBC-HIS certification or an approved equivalent; the specialist application page asks for graduation or other-jurisdiction verification and NCE with full board certification.
Intern license
Surrender any hearing instrument intern license upon specialist licensure.
Prior law score
DOPL states: "*Not required if you previously submitted a passing score as an Intern." The currently offered examination remains a leaf because its passing score is required.
Source disagreement
The DOPL current exam page states "This profession requires the following two examinations:" and names the Utah law examination and NCE. The 2024 Prov handbook instead says specialists need the IHS Practical examination, Utah law examination, and ILE. Under the contract same-rank disagreement rule the named currently offered assessments remain referenced; the two sources do not establish an A/B alternative. Applicants should consult DOPL about which examinations it will require in their circumstances.
Training
Complete at least six months of training with an approved supervising hearing instrument specialist or audiologist under 58-46a-302(1)(d).
Military deployment license extension and renewal
No examination is required for this applicant pathway.
Military
Qualifying active duty or deployment extends a Title 58 license until 90 days after discharge or the last deployment date. Request renewal within 90 days of termination of orders and provide official activation/deployment and discharge orders.
Renewal
Meet ordinary renewal requirements except continuing education or training, with fees waived; routine annual training, in-state orders and orders without out-of-state relocation do not qualify.

Official no-examination sources

Effective from 2026-09-22.

Activation from inactive status
No examination is required for this applicant pathway.
Cycle
Activation during the final 12 months of a renewal cycle covers the next full cycle plus the remaining time.
Eligibility
Verified activation application, fee and documentation of current renewal qualifications under R156-1-305(4).

Official no-examination sources

Effective from 2026-09-22.

Reinstatement after expiration
No examination is required for this applicant pathway.
Expiration window
Within 30 days after expiration: renewal form, renewal fee and late fee.
Renewal requirements
{"competence":"Attest to maintaining competence and safe practice; provide competence evidence at DOPL request.","continuing_education":"Specialists complete 16 continuing education hours or maintain current NBC-HIS certification and retain documentation for two years. Maintaining certification is a renewal condition, without an identified new examination.","cycle":"Specialist licenses follow the two-year cycle ending September 30 of even years; intern license term is three years.","intern_extension":"Intern renewal for three years requires satisfactory progress toward specialist licensure and a hardship beyond the intern control under R156-46a-303(3)."}

Official no-examination sources

Effective from 2026-09-22.

Reinstatement after expiration
No examination is required for this applicant pathway.
Expiration window
31 days through two years after expiration: renewal form, renewal and reinstatement fees.
Renewal requirements
{"competence":"Attest to maintaining competence and safe practice; provide competence evidence at DOPL request.","continuing_education":"Specialists complete 16 continuing education hours or maintain current NBC-HIS certification and retain documentation for two years. Maintaining certification is a renewal condition, without an identified new examination.","cycle":"Specialist licenses follow the two-year cycle ending September 30 of even years; intern license term is three years.","intern_extension":"Intern renewal for three years requires satisfactory progress toward specialist licensure and a hardship beyond the intern control under R156-46a-303(3)."}

Official no-examination sources

Effective from 2026-09-22.

Reinstatement after disciplinary term

All of the following:

Current qualifications
Demonstrate current initial-licensure qualifications and current competence; comply with the disciplinary order and pay applicable fees and outstanding fines.
Initial conditions
{"application":"Submit the DOPL application and fee, identity information, and supporting documentation for qualifying-questionnaire disclosures.","certification":"The DOPL application v20250210 asks initial applicants for current NBC-HIS certification or an approved equivalent; the specialist application page asks for graduation or other-jurisdiction verification and NCE with full board certification.","intern_license":"Surrender any hearing instrument intern license upon specialist licensure.","prior_law_score":"DOPL states: \"*Not required if you previously submitted a passing score as an Intern.\" The currently offered examination remains a leaf because its passing score is required.","source_disagreement":"The DOPL current exam page states \"This profession requires the following two examinations:\" and names the Utah law examination and NCE. The 2024 Prov handbook instead says specialists need the IHS Practical examination, Utah law examination, and ILE. Under the contract same-rank disagreement rule the named currently offered assessments remain referenced; the two sources do not establish an A/B alternative. Applicants should consult DOPL about which examinations it will require in their circumstances.","training":"Complete at least six months of training with an approved supervising hearing instrument specialist or audiologist under 58-46a-302(1)(d)."}
Reinstatement with continuous qualifying practice
No examination is required for this applicant pathway.
Application window
Submit within six months after reestablishing Utah domicile or ending full-time government service, document renewal qualifications, and pay applicable fees.
Intern lower rule
For interns, R156-46a-302(2) separately says an expired intern shall retake the law exam before reapplying. The express no-examination statute 58-1-308(6)(b) controls this continuous-practice reinstatement route.
Practice
Continuous professional practice in full-time US government service or under a license elsewhere since Utah expiration.

Official no-examination sources

Effective from 2026-09-22.

Reinstatement more than two years after expiration without continuous qualifying practice

All of the following:

Current qualifications
Submit an initial-licensure application demonstrating all current qualifications, and new applicant fee.
Expiration
Expired for more than two years without qualifying active professional practice.
Initial conditions
{"application":"Submit the DOPL application and fee, identity information, and supporting documentation for qualifying-questionnaire disclosures.","certification":"The DOPL application v20250210 asks initial applicants for current NBC-HIS certification or an approved equivalent; the specialist application page asks for graduation or other-jurisdiction verification and NCE with full board certification.","intern_license":"Surrender any hearing instrument intern license upon specialist licensure.","prior_law_score":"DOPL states: \"*Not required if you previously submitted a passing score as an Intern.\" The currently offered examination remains a leaf because its passing score is required.","source_disagreement":"The DOPL current exam page states \"This profession requires the following two examinations:\" and names the Utah law examination and NCE. The 2024 Prov handbook instead says specialists need the IHS Practical examination, Utah law examination, and ILE. Under the contract same-rank disagreement rule the named currently offered assessments remain referenced; the two sources do not establish an A/B alternative. Applicants should consult DOPL about which examinations it will require in their circumstances.","training":"Complete at least six months of training with an approved supervising hearing instrument specialist or audiologist under 58-46a-302(1)(d)."}
Relicensure after surrender while not in good standing

All of the following:

Current qualifications
Initial-licensure qualifications, competence evidence, applicable new application fee and outstanding fines; comply with written surrender agreement.
Initial conditions
{"application":"Submit the DOPL application and fee, identity information, and supporting documentation for qualifying-questionnaire disclosures.","certification":"The DOPL application v20250210 asks initial applicants for current NBC-HIS certification or an approved equivalent; the specialist application page asks for graduation or other-jurisdiction verification and NCE with full board certification.","intern_license":"Surrender any hearing instrument intern license upon specialist licensure.","prior_law_score":"DOPL states: \"*Not required if you previously submitted a passing score as an Intern.\" The currently offered examination remains a leaf because its passing score is required.","source_disagreement":"The DOPL current exam page states \"This profession requires the following two examinations:\" and names the Utah law examination and NCE. The 2024 Prov handbook instead says specialists need the IHS Practical examination, Utah law examination, and ILE. Under the contract same-rank disagreement rule the named currently offered assessments remain referenced; the two sources do not establish an A/B alternative. Applicants should consult DOPL about which examinations it will require in their circumstances.","training":"Complete at least six months of training with an approved supervising hearing instrument specialist or audiologist under 58-46a-302(1)(d)."}
Relicensure after revocation

All of the following:

Current qualifications
Demonstrate current initial-licensure qualifications and current competence; comply with the disciplinary order and pay applicable fees and outstanding fines.
Initial conditions
{"application":"Submit the DOPL application and fee, identity information, and supporting documentation for qualifying-questionnaire disclosures.","certification":"The DOPL application v20250210 asks initial applicants for current NBC-HIS certification or an approved equivalent; the specialist application page asks for graduation or other-jurisdiction verification and NCE with full board certification.","intern_license":"Surrender any hearing instrument intern license upon specialist licensure.","prior_law_score":"DOPL states: \"*Not required if you previously submitted a passing score as an Intern.\" The currently offered examination remains a leaf because its passing score is required.","source_disagreement":"The DOPL current exam page states \"This profession requires the following two examinations:\" and names the Utah law examination and NCE. The 2024 Prov handbook instead says specialists need the IHS Practical examination, Utah law examination, and ILE. Under the contract same-rank disagreement rule the named currently offered assessments remain referenced; the two sources do not establish an A/B alternative. Applicants should consult DOPL about which examinations it will require in their circumstances.","training":"Complete at least six months of training with an approved supervising hearing instrument specialist or audiologist under 58-46a-302(1)(d)."}
Renewal
No examination is required for this applicant pathway.
Competence
Attest to maintaining competence and safe practice; provide competence evidence at DOPL request.
Continuing education
Specialists complete 16 continuing education hours or maintain current NBC-HIS certification and retain documentation for two years. Maintaining certification is a renewal condition, without an identified new examination.
Cycle
Specialist licenses follow the two-year cycle ending September 30 of even years; intern license term is three years.
Intern extension
Intern renewal for three years requires satisfactory progress toward specialist licensure and a hardship beyond the intern control under R156-46a-303(3).

Official no-examination sources

Effective from 2026-09-22.

Temporary Hearing Instrument Intern License

Temporary form under 58-1-303 of this profession license classification.

Licensing authority: Utah Division of Professional Licensing · Application information

Temporary license for emergency, shortage or monitored observation
No examination is required for this applicant pathway.
Eligibility
Licensed elsewhere under requirements at least equal to Utah at issue; DOPL and the Board find emergency, service shortage threatening public welfare, or need for monitored observation before regular licensure.

Official no-examination sources

Effective from 2026-09-22.

Temporary license pending the next examination
Utah Hearing Instrument Specialists Law and Rule Examination
Eligibility
All license requirements other than passing an examination must be met. Take the next available examination; failure terminates the temporary license when official results are released.
Initial conditions
{"application":"Submit the DOPL application, fee and qualifying disclosures.","supervision":"Provide evidence acceptable to DOPL of practice under an approved supervising hearing instrument specialist or audiologist; direct supervision is the default under 58-46a-302.5(1)."}
Limit
No more than three consecutive temporary licenses within three years of the first.
Temporary license to teach or assist a Utah licensee
No examination is required for this applicant pathway.
Eligibility
Licensed elsewhere and temporarily in Utah to teach or assist a Utah resident licensee; DOPL issuance is discretionary.

Official no-examination sources

Effective from 2026-09-22.

Temporary Hearing Instrument Specialist License

Temporary form under 58-1-303 of this profession license classification.

Licensing authority: Utah Division of Professional Licensing · Application information

Temporary license for emergency, shortage or monitored observation
No examination is required for this applicant pathway.
Eligibility
Licensed elsewhere under requirements at least equal to Utah at issue; DOPL and the Board find emergency, service shortage threatening public welfare, or need for monitored observation before regular licensure.

Official no-examination sources

Effective from 2026-09-22.

Temporary license pending the next examination

All of the following:

Eligibility
All license requirements other than passing an examination must be met. Take the next available examination; failure terminates the temporary license when official results are released.
Initial conditions
{"application":"Submit the DOPL application and fee, identity information, and supporting documentation for qualifying-questionnaire disclosures.","certification":"The DOPL application v20250210 asks initial applicants for current NBC-HIS certification or an approved equivalent; the specialist application page asks for graduation or other-jurisdiction verification and NCE with full board certification.","intern_license":"Surrender any hearing instrument intern license upon specialist licensure.","prior_law_score":"DOPL states: \"*Not required if you previously submitted a passing score as an Intern.\" The currently offered examination remains a leaf because its passing score is required.","source_disagreement":"The DOPL current exam page states \"This profession requires the following two examinations:\" and names the Utah law examination and NCE. The 2024 Prov handbook instead says specialists need the IHS Practical examination, Utah law examination, and ILE. Under the contract same-rank disagreement rule the named currently offered assessments remain referenced; the two sources do not establish an A/B alternative. Applicants should consult DOPL about which examinations it will require in their circumstances.","training":"Complete at least six months of training with an approved supervising hearing instrument specialist or audiologist under 58-46a-302(1)(d)."}
Limit
No more than three consecutive temporary licenses within three years of the first.
Temporary license to teach or assist a Utah licensee
No examination is required for this applicant pathway.
Eligibility
Licensed elsewhere and temporarily in Utah to teach or assist a Utah resident licensee; DOPL issuance is discretionary.

Official no-examination sources

Effective from 2026-09-22.

Temporary telemedicine license pending endorsement
No examination is required for this applicant pathway.
Eligibility
Nonresident health-care license in good standing; completed endorsement application and DOPL determines it cannot process the application within 15 days.
Scope
Only services within the nonresident license and Utah law for a patient in Utah; no additional fee beyond endorsement. Temporary issuance prescribes no separate examination; the endorsement route remains separate.

Official no-examination sources

Effective from 2026-09-22.

Utah Hearing Instrument Specialists Law and Rule Examination

Provider
Prov Inc.
Format
Computer-delivered examination
Exam questions
40
Time limit
2 hours
Passing score
75%
Examination outline
  • Code of Ethics of the International Hearing Society (23 of 40 questions)
  • Utah Hearing Instrument Law 58-46a (17 of 40 questions)
Examination sources

International Hearing Society (IHS) Practical Examination for Hearing Instrument Interns

This assessment does not have a question bank.

Provider
Prov Inc.; scored by IHS
Format
Five-section practical demonstration with oral competency assessment
Time limit
3 hours
Examination outline
  • Patient Information & Health Assessment: Case History, Otoscopy, Screening Tympanometry & Referral
  • Pure-tone Audiometry: Air, Bone Speech, Masking, & Special Considerations
  • Human Acoustic Couplers: Earmold Impressions, Retubing, & Earmold Styles
  • Audiometric Interpretation & Fitting Verification: Audiograms, ANSI Read-Outs & Real Ear Measurements
  • Dispensing, Counseling, & Trouble-Shooting: Delivery Instructions, Resolving Complaints, & Rehab Counseling
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

National Competency Exam (NBC-HIS)

Provider
National Board for Certification in Hearing Instrument Sciences (NBC-HIS); scheduled through Kryterion Webassessor at testing centers
Format
Computer-based multiple-choice board certification examination for holders of a current dispensing license or certificate of registration (where applicable); items from the five competency areas are randomly distributed and scored as a single exam, each item correct or incorrect with no partial credit
Exam questions
100 scored multiple-choice items, sometimes with as many as 30 additional non-scored beta items
Time limit
105 minutes for the 100-question exam; adjusted automatically when beta questions are added
Passing score
Criterion-referenced passing standard set by a modified Angoff methodology; pass or fail reported for the entire exam
Exam fee
$225 (USD) for United States & Canada or $250 (USD) for International, per exam sitting
Examination outline
  • DOMAIN 1: Assess patient presenting problem and needs (25%) (25%)
    • 1) Identify the most likely type/degree/slope of hearing loss or potential impact to hearing given a patient scenario that includes a family history of hearing loss.
    • 2) Identify the most likely type/degree/slope of hearing loss or potential impact to hearing given a patient scenario that includes childhood hearing-related illnesses.
    • 3) Identify the most likely type/degree/slope of hearing loss or potential impact to hearing given a patient scenario that includes hearing loss duration, dizziness, loss of balance, and/or tinnitus.
    • 4) Identify the most likely type/degree/slope of hearing loss or potential impact to hearing given a patient scenario that includes hearing loss duration, trauma and/or discomfort.
    • 5) Identify the most likely type/degree/slope of hearing loss or potential impact to hearing given a patient scenario that includes past and/or current health conditions and/or medication/drug history.
    • 6) Identify the most likely type/degree/slope of hearing loss or potential impact to hearing given a patient scenario that includes occupations or recreational activities that include exposure to noise and acoustic trauma.
    • 7) Identify the most likely type/degree/slope of hearing loss or potential impact to hearing given a patient scenario including history of ear surgeries, diseases and treatments.
    • 8) Identify the potential impact on patient's lifestyle (e.g., family, work, social activities) given a patient scenario of hearing loss type (e.g., SNHL).
    • 9) Identify which patient scenario would most likely require a medical referral based on given symptoms (e.g., impacted cerumen, asymmetric hearing loss, sudden onset hearing loss).
    • 10) Identify the most appropriate type of preventative hearing protection given a patient scenario involving noise exposure.
    • 11) Differentiate between scenarios that indicate a hearing loss vs. lack of understanding (e.g., cognitive decline, retrocochlear).
  • DOMAIN 2: Test and analyze patient hearing (25%) (25%)
    • 1) Identify irregularities/obstructions during an otoscopic examination.
    • 2) Identify when the patient would benefit from cerumen management, removal, and/or precautions in cerumen management.
    • 3) Identify the degree and type of hearing loss based on the pure-tone air and bone-conduction given audiometric results (e.g., mixed hearing loss, SNHL).
    • 4) Identify condition(s) that would cause the tympanogram and/or reflex configuration given tympanogram and/or reflex results.
    • 5) Identify potential methods for managing tinnitus.
    • 6) Identify when to conduct speech awareness vs. speech reception threshold test.
    • 7) Identify how speech discrimination test results would impact the patient's outcome, most appropriate treatment option, or additional testing.
    • 8) Determine whether this was over masked, under masked, effectively masked, masking was not necessary, or a masking anomaly (e.g., interaural attenuation) given audiometric test results showing air- and/or bone-conduction testing and masking levels.
    • 9) Identify the potential impact on fitting given a patient scenario involving Speech Reception Threshold (SRT), Most Comfortable Listening Level (MCL), and/or Uncomfortable Loudness Level (UCL) (e.g., recruitment).
    • 10) Interpret Speech in Noise (SIN) results and impact on treatment plan.
    • 11) Identify signs of irregular test results and/or the potential causes of irregular test results (e.g., malingering, user error, equipment failure).
    • 12) Identify the results that indicate recommendation for medical referral given otological or hearing test results (e.g., binaural interference, PTA vs. SRT discrepancy, air-bone gap).
    • 13) Identify when a client is a possible candidate for a surgical solution (e.g., cochlear implant, Bone-anchored Hearing Aid (BAHA), PE tubes).
    • 14) Select the best audiometric transducer given physical considerations of the patient (e.g., supra-aural vs. insert earphones).
  • DOMAIN 3: Prescribe and analyze hearing instruments (25%) (25%)
    • 1) Identify the appropriate hearing instrument (e.g., style, configuration, matrix, rechargeable vs. battery) given a patient scenario that includes physical and/or cognitive limitations.
    • 2) Identify which telephone use options are most appropriate given a patient scenario including physical/cognitive limitations or knowledge of technology.
    • 3) Identify which Assistive Listening Devices (ALDs) are most appropriate given a patient scenario that includes lifestyle, physical/cognitive limitations and/or knowledge of technology.
    • 4) Identify the contraindications for Invisible-in-Canal (IIC) hearing instruments given a patient's ear canal, size, hearing loss and lifestyle (i.e., extended or daily wear use).
    • 5) Identify the most appropriate modification to the procedures and/or materials during an ear impression (e.g., gun vs. syringe, otoblock size/type, mastoid and/or piercings, unusual/missing pinna).
    • 6) Identify the most appropriate tube, tube length, dome size, earmold, or receiver power for over-the-ear (OTE) hearing instruments.
    • 7) Identify the most appropriate wire, wire length, dome size, earmold, or receiver power for receiver-in-canal (RIC) hearing instruments.
    • 8) Identify the most appropriate tube, tube length, dome size, earmold, or receiver power for behind-the-ear (BTE) hearing instruments.
    • 9) Identify advantages and disadvantages of custom hearing instruments versus OTE, RIC, and BTE given a patient scenario.
    • 10) Identify advantages and disadvantages of custom hearing instruments given a patient scenario.
    • 11) Identify possible treatment options for asymmetrical and single-sided deafness (SSD) (e.g., CROS/BICROS).
    • 12) Determine the most appropriate hearing instrument given a patient scenario that includes lifestyle, history, test results, and ear canal characteristics.
  • DOMAIN 4: Fit, adjust, program, and service hearing instruments and equipment (15%) (15%)
    • 1) Identify the appropriate adjustment given objective verification outcome results (e.g., sound field aided/unaided discrimination, sound field aided/unaided warble tones or narrow band noise).
    • 2) Identify potential causes of problems or identify the appropriate modification given results from real ear or speech mapping.
    • 3) Identify the appropriate methodologies for modifying the physical fit of earmolds, custom shells, OTE, BTE, and/or RIC instruments given a patient complaint.
    • 4) Identify the appropriate adjustments given subjective validation of results (e.g., COSI, IOI-HA, APHAB, verbal feedback).
    • 5) Troubleshoot and adjust/modify programming of hearing instrument given a patient complaint.
    • 6) Identify or resolve potential hearing instrument problems caused by obstructions, moisture, or battery performance.
    • 7) Troubleshoot pairing and wireless connectivity between hearing-related devices.
  • DOMAIN 5: Counseling and rehabilitation (10%) (10%)
    • 1) Identify the most appropriate patient explanation given results of otoscopic examination and audiometric examination.
    • 2) Identify potential limitations and benefits of amplification.
    • 3) Identify the most appropriate counseling based on subjective validation results.
    • 4) Identify helpful strategies and information for improved hearing and communication in various situations or environments.
    • 5) Identify appropriate manual hearing instrument adjustments that patients, family members, or caregivers can make.
Examination sources