notice for children with hearing loss:
In addition to seeing a physician for a medical evaluation, a child with a hearing loss should
be directed to an audiologist for evaluation and rehabilitation because hearing loss may cause
problems in language development and the educational and social growth of a child. An audi-
ologist is qualified by training and experience to assist in the evaluation and rehabilitation of a
child with hearing loss.
Warning to Hearing Aid Dispensers:
1. Special care should be exercised in selecting and fitting hearing instruments with maximum
sound pressure level that exceeds 132dB SPL with an IEC 60711:1981 occluded ear simu-
lator. There may be a risk of impairment of the remaining hearing.
2. A hearing aid dispenser should advise a prospective hearing aid user to consult promptly
with a licensed physician (preferably an ear specialist) before dispensing a hearing aid, if
the hearing aid dispenser determines through inquiry, actual observation, or review of any
other available information concerning the prospective user, that the prospective user has
any of the following conditions:
(i) Visible congenital or traumatic deformity of the ear.
(ii) History of active drainage from the ear within the previous 90 days.
(iii) History of sudden or rapidly progressive hearing loss within the previous 90 days.
(iv) Acute or chronic dizziness.
(v) Unilateral hearing loss of sudden or recent onset within the previous 90 days.
(vi) Audiometric air-bone gap equal to or greater than 15 decibels at 500 hertz (Hz), 1,000
Hz, and 2,000 Hz.
(vii) Visible evidence of significant cerumen accumulation or a foreign body in the ear canal.
(viii) Pain or discomfort in the ear.