Louisiana Hearing Instrument Specialist — Requirements & Free Practice
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Certificate of Endorsement
Individual credential based on an equivalent or higher out-of-jurisdiction license and qualifying program.
Licensing authority: Louisiana Board for Hearing Aid Dealers · Application information
Certificate of endorsement
- Application fee
- The Board application requires a $200 nonrefundable application fee; initial credential issuance fee is the same as for an initial license.
- Equivalence
- Board determines the other jurisdiction requirements and qualification program are equivalent to or higher than Louisiana requirements.
- Existing license
- Current, unsuspended and unrevoked license or certificate to sell and fit hearing aids in another jurisdiction.
- Open book
- The Board bylaws require endorsement applicants to take the Louisiana Licensing Act and Bylaws open-book examination.
Annual renewal
- Calibration
- The Board bylaws require a current annual audiometric equipment calibration certificate at renewal.
- Deadline
- Renew annually for the license period ending December 31.
- Education
- 12 Board-approved continuing-education hours per year; maximum 4 internet/correspondence hours; documentary proof required. A license issued July 1 or later first needs the 12 hours by December 31 of the following year.
- Fee
- $200 annual renewal fee.
Official no-examination sources
Effective from 2026-09-22.
- Louisiana R.S. 37:2451
R.S. 37:2451(A), annual and grace-period renewal
- Louisiana R.S. 37:2446.1
R.S. 37:2446.1(A), renewal and reinstatement continuing education
- Louisiana R.S. 37:2448
R.S. 37:2448(B)(2), certificate renewal and suspension equivalence
Renewal during 30 day grace period
- Calibration
- Submit current annual audiometric calibration certificate at renewal.
- Education
- Meet the statutory renewal continuing-education requirements.
- Eligibility
- Within the 30-day grace period after expiration.
- Fee
- $300 renewal fee.
Official no-examination sources
Effective from 2026-09-22.
- Louisiana R.S. 37:2451
R.S. 37:2451(A), annual and grace-period renewal
- Louisiana R.S. 37:2446.1
R.S. 37:2446.1(A), renewal and reinstatement continuing education
- Louisiana R.S. 37:2448
R.S. 37:2448(B)(2), certificate renewal and suspension equivalence
Renewal after suspension for nonrenewal
- Calibration
- Submit current audiometric calibration certificate.
- Discretion
- Board may renew upon payment of $400.
- Education
- Satisfy the renewal/reinstatement continuing-education requirements.
- Eligibility
- Credential suspended after failure to renew by expiration of the grace period.
Official no-examination sources
Effective from 2026-09-22.
- Louisiana R.S. 37:2451
R.S. 37:2451(B), renewal after grace-period suspension
- Louisiana R.S. 37:2446.1
R.S. 37:2446.1(A), renewal and reinstatement continuing education
- Louisiana R.S. 37:2448
R.S. 37:2448(B)(2), certificate renewal and suspension equivalence
Reinstatement after revocation
- Application
- Apply by registered or certified mail.
- Discretion
- Reinstatement is at the sole discretion of the Board; no identified examination is specified in the governing reinstatement provision.
- Education
- Satisfy statutory reinstatement continuing education.
Official no-examination sources
Effective from 2026-09-22.
- Louisiana R.S. 37:2463.1
R.S. 37:2463.1(B), reinstatement after revocation
- Louisiana R.S. 37:2446.1
R.S. 37:2446.1(A), renewal and reinstatement continuing education
- Louisiana R.S. 37:2448
R.S. 37:2448(B)(2), certificate renewal and suspension equivalence
Reacquisition after suspension period
- Application
- Contact Board by registered or certified mail and arrange reacquisition for the duration of the licensed period.
- Education
- Satisfy statutory reinstatement continuing education.
- Eligibility
- Suspension period has expired.
Official no-examination sources
Effective from 2026-09-22.
- Louisiana R.S. 37:2463.1
R.S. 37:2463.1(A), restoration after suspension
- Louisiana R.S. 37:2446.1
R.S. 37:2446.1(A), renewal and reinstatement continuing education
- Louisiana R.S. 37:2448
R.S. 37:2448(B)(2), certificate renewal and suspension equivalence
Hearing Aid Dealer License
Individual license to sell and fit hearing aids in Louisiana.
Licensing authority: Louisiana Board for Hearing Aid Dealers · Application information
Licensure by examination
All of the following:
- International Licensing Examination for Hearing Healthcare Professionals
- IHS Practical Examination (assessment without a question bank)
- Open Book Licensing Examination
- Application
- Complete notarized Board application, $200 nonrefundable application fee, transcripts, birth certificate, photograph, references and the requested licensure, disciplinary and conviction disclosures.
- Board education evidence
- The Board application states a minimum of 60 earned credit hours or an associate degree from an accredited institution, with a certified transcript sent directly by the registrar.
- Education
- High-school equivalent plus two years of college or accredited higher education; alternatively, continuous hearing-aid fitting and selling and good standing for a period of no less than two years from the date of application, as Act 887 states. The Act deletes the former reference to practice during the two years preceding the original effective date of the Chapter.
- Exam retakes
- After two successive failed attempts of practical, written and/or open-book examination the Board bylaws require a new application; only failed practical sections are retaken.
- Health
- Free of contagious or infectious disease; the application requires a physician certificate within 60 days of postmark.
- Military training credit
- R.S. 37:3651(D) allows comparable military education, training or experience to satisfy those requirements wholly or partly as determined by the Board.
- Minimum age
- At least 21 years old under R.S. 37:2445(2).
- Moral character
- Good moral character to the satisfaction of the Board.
- Training permit holders
- If applying following a temporary training permit, complete at least 150 directly supervised practicum hours and continue direct supervision after those hours.
Annual renewal
- Calibration
- The Board bylaws require a current annual audiometric equipment calibration certificate at renewal.
- Deadline
- Renew annually for the license period ending December 31.
- Education
- 12 Board-approved continuing-education hours per year; maximum 4 internet/correspondence hours; documentary proof required. A license issued July 1 or later first needs the 12 hours by December 31 of the following year.
- Fee
- $200 annual renewal fee.
Official no-examination sources
Effective from 2026-09-22.
- Louisiana R.S. 37:2451
R.S. 37:2451(A), annual and grace-period renewal
- Louisiana R.S. 37:2446.1
R.S. 37:2446.1(A), renewal and reinstatement continuing education
Renewal during 30 day grace period
- Calibration
- Submit current annual audiometric calibration certificate at renewal.
- Education
- Meet the statutory renewal continuing-education requirements.
- Eligibility
- Within the 30-day grace period after expiration.
- Fee
- $300 renewal fee.
Official no-examination sources
Effective from 2026-09-22.
- Louisiana R.S. 37:2451
R.S. 37:2451(A), annual and grace-period renewal
- Louisiana R.S. 37:2446.1
R.S. 37:2446.1(A), renewal and reinstatement continuing education
Renewal after suspension for nonrenewal
- Calibration
- Submit current audiometric calibration certificate.
- Discretion
- Board may renew upon payment of $400.
- Education
- Satisfy the renewal/reinstatement continuing-education requirements.
- Eligibility
- Credential suspended after failure to renew by expiration of the grace period.
Official no-examination sources
Effective from 2026-09-22.
- Louisiana R.S. 37:2451
R.S. 37:2451(B), renewal after grace-period suspension
- Louisiana R.S. 37:2446.1
R.S. 37:2446.1(A), renewal and reinstatement continuing education
Reinstatement after revocation
- Application
- Apply by registered or certified mail.
- Discretion
- Reinstatement is at the sole discretion of the Board; no identified examination is specified in the governing reinstatement provision.
- Education
- Satisfy statutory reinstatement continuing education.
Official no-examination sources
Effective from 2026-09-22.
- Louisiana R.S. 37:2463.1
R.S. 37:2463.1(B), reinstatement after revocation
- Louisiana R.S. 37:2446.1
R.S. 37:2446.1(A), renewal and reinstatement continuing education
Reacquisition after suspension period
- Application
- Contact Board by registered or certified mail and arrange reacquisition for the duration of the licensed period.
- Education
- Satisfy statutory reinstatement continuing education.
- Eligibility
- Suspension period has expired.
Official no-examination sources
Effective from 2026-09-22.
- Louisiana R.S. 37:2463.1
R.S. 37:2463.1(A), restoration after suspension
- Louisiana R.S. 37:2446.1
R.S. 37:2446.1(A), renewal and reinstatement continuing education
Military family work experience recognition
- Exclusions
- No dishonorable discharge for the applicant or military spouse; the statutory exclusions for judicially regulated occupations, compact-covered persons and nationwide licensure/registration apply.
- Fees
- Pay applicable Louisiana fees.
- Governing law
- The Louisiana occupation laws and the jurisdiction of this Board continue to apply.
- Jurisprudence discretion
- Under R.S. 37:3651(E), the Board may require the identified Louisiana open-book law and bylaws examination.
- License history
- No negligence/misconduct-related revocation or surrender; pending unprofessional-conduct or crime complaint/investigation must be resolved or the applicant must otherwise satisfy Louisiana criteria to the Board.
- Military eligibility
- The applicant must fit the military, qualifying Department of Defense civilian, spouse or dependent categories stated in the applicable subsection of R.S. 37:3651; assignment or legal-residence requirements in subsection A apply to that route.
- Permanent application
- Simultaneously apply for a permanent license; any pending permit terminates automatically if the permanent application fails qualification.
- Qualifications
- At least three years of work in a jurisdiction that does not license or government-certify this occupation, with similar scope determined by the Board.
Military family existing license recognition
- Exclusions
- No dishonorable discharge for the applicant or military spouse; the statutory exclusions for judicially regulated occupations, compact-covered persons and nationwide licensure/registration apply.
- Fees
- Pay applicable Louisiana fees.
- Governing law
- The Louisiana occupation laws and the jurisdiction of this Board continue to apply.
- Jurisprudence discretion
- Under R.S. 37:3651(E), the Board may require the identified Louisiana open-book law and bylaws examination.
- License history
- No negligence/misconduct-related revocation or surrender; pending unprofessional-conduct or crime complaint/investigation must be resolved or the applicant must otherwise satisfy Louisiana criteria to the Board.
- Military eligibility
- The applicant must fit the military, qualifying Department of Defense civilian, spouse or dependent categories stated in the applicable subsection of R.S. 37:3651; assignment or legal-residence requirements in subsection A apply to that route.
- Permanent application
- Simultaneously apply for a permanent license; any pending permit terminates automatically if the permanent application fails qualification.
- Qualifications
- Current valid other-jurisdiction license in similar scope for at least one year, prior jurisdiction examinations or educational/training/experience standards satisfied, good standing and no disqualifying criminal record.
Military family private certification and experience recognition
- Exclusions
- No dishonorable discharge for the applicant or military spouse; the statutory exclusions for judicially regulated occupations, compact-covered persons and nationwide licensure/registration apply.
- Fees
- Pay applicable Louisiana fees.
- Governing law
- The Louisiana occupation laws and the jurisdiction of this Board continue to apply.
- Jurisprudence discretion
- Under R.S. 37:3651(E), the Board may require the identified Louisiana open-book law and bylaws examination.
- License history
- No negligence/misconduct-related revocation or surrender; pending unprofessional-conduct or crime complaint/investigation must be resolved or the applicant must otherwise satisfy Louisiana criteria to the Board.
- Military eligibility
- The applicant must fit the military, qualifying Department of Defense civilian, spouse or dependent categories stated in the applicable subsection of R.S. 37:3651; assignment or legal-residence requirements in subsection A apply to that route.
- Permanent application
- Simultaneously apply for a permanent license; any pending permit terminates automatically if the permanent application fails qualification.
- Qualifications
- At least two years of work in an unlicensed/non-government-certified jurisdiction, plus a current valid private certification held in good standing; no named private-certification examination is specified.
Welcome Home Act recognition
- Existing credential
- Hold a current valid out-of-state license or certification in a similar scope of practice for at least one year; prior examination or education, training or experience standards of that jurisdiction are applicant evidence.
- Fees
- Pay applicable Louisiana fees.
- Mobility
- The recognized license is valid only in Louisiana and does not itself create compact or reciprocal practice eligibility elsewhere.
- Residency
- Louisiana residency evidenced by a state ID, voter registration, homestead exemption, or employment/promise-of-employment evidence; employment-based evidence must be supplemented after six months.
- Standing
- Good standing, no disqualifying criminal record, and no pending disciplinary action or investigation unless resolved or otherwise accepted by the Board under the statute.
- State law exam discretion
- R.S. 37:54(A) permits the Board to require the identified Louisiana open-book law and bylaws examination.
Permit Pending Normal License
Military-family occupational permit pending the simultaneous permanent-license application under R.S. 37:3651.
Licensing authority: Louisiana Board for Hearing Aid Dealers · Application information
Military family work experience recognition pending normal licensure
- Exclusions
- No dishonorable discharge for the applicant or military spouse; the statutory exclusions for judicially regulated occupations, compact-covered persons and nationwide licensure/registration apply.
- Fees
- Pay applicable Louisiana fees.
- Governing law
- The Louisiana occupation laws and the jurisdiction of this Board continue to apply.
- Jurisprudence discretion
- Under R.S. 37:3651(E), the Board may require the identified Louisiana open-book law and bylaws examination.
- License history
- No negligence/misconduct-related revocation or surrender; pending unprofessional-conduct or crime complaint/investigation must be resolved or the applicant must otherwise satisfy Louisiana criteria to the Board.
- Military eligibility
- The applicant must fit the military, qualifying Department of Defense civilian, spouse or dependent categories stated in the applicable subsection of R.S. 37:3651; assignment or legal-residence requirements in subsection A apply to that route.
- Permanent application
- Simultaneously apply for a permanent license; any pending permit terminates automatically if the permanent application fails qualification.
- Qualifications
- At least three years of work in a jurisdiction that does not license or government-certify this occupation, with similar scope determined by the Board.
Military family existing license recognition pending normal licensure
- Exclusions
- No dishonorable discharge for the applicant or military spouse; the statutory exclusions for judicially regulated occupations, compact-covered persons and nationwide licensure/registration apply.
- Fees
- Pay applicable Louisiana fees.
- Governing law
- The Louisiana occupation laws and the jurisdiction of this Board continue to apply.
- Jurisprudence discretion
- Under R.S. 37:3651(E), the Board may require the identified Louisiana open-book law and bylaws examination.
- License history
- No negligence/misconduct-related revocation or surrender; pending unprofessional-conduct or crime complaint/investigation must be resolved or the applicant must otherwise satisfy Louisiana criteria to the Board.
- Military eligibility
- The applicant must fit the military, qualifying Department of Defense civilian, spouse or dependent categories stated in the applicable subsection of R.S. 37:3651; assignment or legal-residence requirements in subsection A apply to that route.
- Permanent application
- Simultaneously apply for a permanent license; any pending permit terminates automatically if the permanent application fails qualification.
- Qualifications
- Current valid other-jurisdiction license in similar scope for at least one year, prior jurisdiction examinations or educational/training/experience standards satisfied, good standing and no disqualifying criminal record.
Military family private certification and experience recognition pending normal licensure
- Exclusions
- No dishonorable discharge for the applicant or military spouse; the statutory exclusions for judicially regulated occupations, compact-covered persons and nationwide licensure/registration apply.
- Fees
- Pay applicable Louisiana fees.
- Governing law
- The Louisiana occupation laws and the jurisdiction of this Board continue to apply.
- Jurisprudence discretion
- Under R.S. 37:3651(E), the Board may require the identified Louisiana open-book law and bylaws examination.
- License history
- No negligence/misconduct-related revocation or surrender; pending unprofessional-conduct or crime complaint/investigation must be resolved or the applicant must otherwise satisfy Louisiana criteria to the Board.
- Military eligibility
- The applicant must fit the military, qualifying Department of Defense civilian, spouse or dependent categories stated in the applicable subsection of R.S. 37:3651; assignment or legal-residence requirements in subsection A apply to that route.
- Permanent application
- Simultaneously apply for a permanent license; any pending permit terminates automatically if the permanent application fails qualification.
- Qualifications
- At least two years of work in an unlicensed/non-government-certified jurisdiction, plus a current valid private certification held in good standing; no named private-certification examination is specified.
Registration of Corporation, Partnership, Trust, Association or Other Like Organization
Organization registration for the sale and fitting of hearing aids through licensed individuals.
Licensing authority: Louisiana Board for Hearing Aid Dealers · Application information
Annual organization registration
- Application
- Board corporation form requires entity, ownership, business-site and licensed-personnel information and audiometer calibration certificates; its attestation also states that a corporation/legal-entity chief executive officer is licensed.
- Changes
- The Board form requires notice of information changes within 15 days.
- Licensed personnel
- Report all directly or indirectly employed/contracted licensed hearing aid dealers and agree to Board rules and Chapter 30; this organization route does not substitute for an individual dealer credential.
- Timing
- File on or before the first day of each calendar year.
Official no-examination sources
Effective from 2026-09-22.
- Louisiana R.S. 37:2465
R.S. 37:2465(A)
- Application for registration of corporation, partnership, trust, association or other like organization
Page 1, sworn ownership and licensed personnel declaration
Initial organization registration
- Application
- Board corporation form requires entity, ownership, business-site and licensed-personnel information and audiometer calibration certificates; its attestation also states that a corporation/legal-entity chief executive officer is licensed.
- Changes
- The Board form requires notice of information changes within 15 days.
- Licensed personnel
- Report all directly or indirectly employed/contracted licensed hearing aid dealers and agree to Board rules and Chapter 30; this organization route does not substitute for an individual dealer credential.
- Timing
- Register intention before selling or offering hearing aids or accessories.
Official no-examination sources
Effective from 2026-09-22.
- Louisiana R.S. 37:2465
R.S. 37:2465(A)
- Application for registration of corporation, partnership, trust, association or other like organization
Page 1, sworn ownership and licensed personnel declaration
Temporary Training Permit
Supervised participation in fitting and selling hearing aids while preparing for the required examinations.
Licensing authority: Louisiana Board for Hearing Aid Dealers · Application information
Temporary training permit renewal after examination failure
All of the following:
- International Licensing Examination for Hearing Healthcare Professionals
- IHS Practical Examination (assessment without a question bank)
- Open Book Licensing Examination
- Board discretion
- Board may grant one renewal only.
- Duration
- Ends 30 days after conclusion of the next examination.
- Eligibility
- Took and failed the next required examination.
- Fee
- $75 renewal fee.
- Retakes
- Retake failed practical sections as the Board bylaws provide; passing results and individual retake eligibility determine what the applicant must repeat.
- Supervision
- Continued direct supervision; the application sponsor affidavit requires repetition of the practicum after examination failure.
Temporary training permit renewal for good cause after not taking examination
All of the following:
- International Licensing Examination for Hearing Healthcare Professionals
- IHS Practical Examination (assessment without a question bank)
- Open Book Licensing Examination
- Eligibility
- Did not take the next required examination; good cause must be shown to the satisfaction of the Board.
- Supervision
- Continued supervised training and the next required examinations; renewal does not excuse qualification for the ordinary license.
Initial temporary training permit
All of the following:
- International Licensing Examination for Hearing Healthcare Professionals
- IHS Practical Examination (assessment without a question bank)
- Open Book Licensing Examination
- Eligibility
- Fulfill R.S. 37:2445 and have not previously applied to take the R.S. 37:2446 examination.
- Exam timing
- Permit may issue before examinations, but the holder must take the next required examination; the permit ends 30 days after it. The Board bylaws require holders issued permits four months before the next examination to take it.
- Fee
- $100 temporary training permit fee.
- Practice limit
- Routine fitting and dispensing as judged by the sponsor or co-sponsor; no independent ownership, management or operation, and no representation as a fully licensed dispenser.
- Supervision
- Qualified licensed or endorsed sponsor and co-sponsor; 150 directly supervised practicum hours under R.S. 37:2449.1; continued direct supervision thereafter.
Open Book Licensing Examination
- Provider
- Louisiana Board for Hearing Aid Dealers
- Format
- Open-book written examination; may be submitted online
Examination outline
- Louisiana Revised Statutes, Title 37, Chapter 30 — Hearing Aid Dealers
- Louisiana Board for Hearing Aid Dealers Bylaws, as amended July 2022
- Louisiana Administrative Code, Title 46, Part XXXIX, Chapter 3 — Ethics
- Louisiana Administrative Code, Title 46, Part XXXIX, Chapter 5 — Application for License
- Louisiana Administrative Code, Title 46, Part XXXIX, Chapter 9 — License
Examination sources
- Louisiana Board for Hearing Aid Dealers Bylaws
Article VI, Section 4, opening sentence
- Louisiana Board for Hearing Aid Dealers general information
Legal Authority
- Louisiana Administrative Code, Title 46, Part XXXIX
Part XXXIX title and chapter enumeration, table of contents
- Louisiana Board for Hearing Aid Dealers Bylaws
Article V, Section 2, statutory enumeration
- Louisiana Board for Hearing Aid Dealers Bylaws
Article V, Section 2, statutory enumeration continuation
- Louisiana Board for Hearing Aid Dealers rules and regulations index
Board bylaws entry linked to July 2022 compilation
- HB1228 (2026) official bill history
HB1228 history, June 9 effective-date entry
- Louisiana Board for Hearing Aid Dealers Bylaws
Article VI, Section 8, grading and notification
- Louisiana Board for Hearing Aid Dealers Bylaws
Article VI, Section 1, ILE scheduling and open-book completion
- Louisiana Board for Hearing Aid Dealers Bylaws
Article VI, Section 4, endorsement applicants
IHS Practical Examination
This assessment does not have a question bank.
- Provider
- Louisiana Board for Hearing Aid Dealers
- Format
- Board-proctored practical examination
- Exam fee
- $200.00 per occurrence; nonrefundable
Examination sources
- Louisiana Board for Hearing Aid Dealers Bylaws
Article VI, Section 6, practical grading
- Louisiana Board for Hearing Aid Dealers Bylaws
Article VI, Section 9, practical section retakes
- Louisiana R.S. 37:2447
R.S. 37:2447, examination subject boundary
- Louisiana R.S. 37:2446
R.S. 37:2446(A)
- Louisiana Board for Hearing Aid Dealers Bylaws
Article VI, Section 2, practical proctoring and fee
International Licensing Examination for Hearing Healthcare Professionals
- Provider
- International Hearing Society (IHS); scheduled and paid through the TestWise system at testing centers
- Format
- Practice-based computer-delivered multiple-choice examination; most questions present a scenario; a few questions require selecting two (or three) correct answers to earn one point; dichotomous right/wrong scoring
- Exam questions
- 105 multiple-choice questions: 80 scored and 25 unscored pilot questions
- Time limit
- 120 minutes (two hours)
- Passing score
- Pass/Fail on the overall raw score against the IHS-recommended passing score; the licensing agency makes the final decision
- Exam fee
- $260.00 (USD) per examination appointment, including re-takes, plus applicable taxes
Examination outline
Domain 1. Conduct Patient/Client Assessment (21%) (21%)
- Objective 1.1 Apply infection control protocols (5%). Includes but is not limited to choosing appropriate infection control processes for tools and equipment; observing universal precautions for infection control; distinguishing between single- and multiple-use items; differentiating among sanitization, disinfection and sterilization processes; and identifying personal protective equipment.
- Objective 1.2 Apply otoscopic inspection protocols (5%). Includes but is not limited to observing safety protocols during otoscopy; identifying anatomical structures; identifying abnormalities through otoscopic inspection; and recognizing the presence of referral criteria. This objective helps provide evidence of the candidate’s ability to perform otoscopy.
- Objective 1.3 Utilize audiometric testing protocols (11%). Includes but is not limited to performing air and bone conduction threshold and suprathreshold testing; performing speech audiometry; performing effective masking; and applying principles to include interpreting results of tympanometry/immittance audiometry. This objective helps provide evidence of the candidate’s ability to perform audiometric testing and application of tympanometry.
Domain 2. Interpret and Apply Assessment Results (22%) (22%)
- Objective 2.1 Interpret and explain audiometric results (11%). Includes but is not limited to demonstrating an understanding of referral criteria; interpreting pure tone and speech testing results; identifying the need for additional testing; identifying the degree and configuration of hearing loss; and identifying the type of hearing loss.
- Objective 2.2 Determine candidacy for amplification (11%). Includes but is not limited to interpreting the case history and outlining contraindications to hearing instrument use.
Domain 3. Select Hearing Devices (18%) (18%)
- Objective 3.1 Select style and type of hearing instruments (9%). Includes but is not limited to establishing fitting goals and selecting specific hearing instruments based on test results, case history, and individual patient/client preferences and lifestyle; selecting electroacoustic and physical properties; and evaluating the need for accessory devices.
- Objective 3.2 Select earmold or other acoustic coupler (9%). Includes but is not limited to assessing physical properties of the outer ear, taking ear impressions, critiquing ear impressions, and selecting coupler based on patient/client needs.
Domain 4. Fit and Dispense Hearing Devices (20%) (20%)
- Objective 4.1 Utilize protocols to fit hearing instruments and other devices (10%). Includes but is not limited to confirming physical and acoustic integrity of hearing devices; programming and adjusting hearing devices; verifying physical fit and acoustic comfort; orienting patient/client to hearing instruments; and orienting patient/client to assistive devices. This objective helps provide evidence of the candidate’s ability to program and dispense hearing instruments and other devices.
- Objective 4.2 Verify fitting (5%). Includes but is not limited to selecting verification method based on patient/client; assessing physical and acoustic integrity of hearing devices; interpreting and explaining verification results; and modifying physical and acoustic parameters of device. This objective helps provide evidence of the candidate’s ability to perform fitting verification (e.g., speech mapping, REM).
- Objective 4.3 Validate fitting (5%). Includes but is not limited to selecting validation method based on patient/client; interpreting and explaining validation results; and modifying physical and acoustic parameters of device. This objective helps provide evidence of the candidate’s ability to perform fitting validation (e.g., questionnaire, self-assessment).
Domain 5. Provide Continuing Care (19%) (19%)
- Objective 5.1 Implement aural rehabilitation and counseling (8%). Includes but is not limited to demonstrating an understanding of the psychology of the hearing impaired; defining and managing patient/client expectations for improved communication; defining and managing family/caregiver expectations for improved communication; and identifying communication strategies.
- Objective 5.2 Apply instrument maintenance and troubleshooting protocols (9%). Includes but is not limited to employing hearing instrument cleaning procedures; performing listening checks on hearing instruments; troubleshooting acoustic properties of hearing instruments; and adjusting based upon changes in patient/client hearing loss and/or listening needs. This objective helps provide evidence of the candidate’s ability to maintain and troubleshoot instrument performance.
- Objective 5.3 Interpret electroacoustic analysis results (2%). Includes but is not limited to identifying need for electroacoustic analysis and comparing electroacoustic analysis of patient’s/client’s hearing instruments to fitting specifications.
Examination sources
- IHS — Competency Model for the International Licensing Examination for Hearing Healthcare Professionals
Title block (p. 1)
- IHS — Competency Model for the International Licensing Examination for Hearing Healthcare Professionals
Structure key, item D (p. 1)
- IHS — Competency Model for the International Licensing Examination for Hearing Healthcare Professionals
Domain 1 heading (p. 2)
- IHS — Competency Model for the International Licensing Examination for Hearing Healthcare Professionals
Domain 5, Objective 5.3 (p. 4)
- IHS — International Licensing Examination for Hearing Healthcare Professionals (ILE) web page
About the Exam
- IHS — International Licensing Examination for Hearing Healthcare Professionals (ILE) web page
About the Exam
- IHS — ILE Study Guide (January 2026)
After the Examination, Examination Scoring (p. 31)
- IHS — ILE Study Guide (January 2026)
Taking the Examination (p. 28)
- IHS — ILE Exam Results & Score Transfer web page
Topic/Domain Feedback
- IHS — ILE Exam Results & Score Transfer web page
Results
- IHS — International Licensing Examination for Hearing Healthcare Professionals (ILE) web page
Eligibility and Exam Scheduling
- IHS — ILE Study Guide (January 2026)
Before the Examination, Scheduling an Examination Appointment (p. 20)