Virginia Hearing Instrument Specialist — Requirements & Free Practice
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Virginia Temporary License for Interstate Applicants
Discretionary nonrenewable authorization lasting no more than 45 days while a complete Virginia license application is pending.
Licensing authority: Virginia Board for Hearing Aid Specialists and Opticians
Discretionary temporary licensure while a permanent application is pending
- Application
- Simultaneously submit a complete Virginia licensure application.
- Board discretion
- Issuance is discretionary and the temporary holder is subject to the issuing Board.
- Existing license
- Hold a comparable valid license or certificate from another United States jurisdiction and remain in good standing with its regulator.
- Permanent licensure
- Requirements for the simultaneously pending ordinary license are separate from temporary issuance.
- Term
- No more than 45 days; nonrenewable.
Official no-examination sources
Effective from 2026-09-22.
- Code of Virginia, Title 54.1
54.1-201.1(A)
- Code of Virginia, Title 54.1
54.1-201.1(B)-(C)
Hearing Aid Specialist License
License for fitting or dealing in prescription hearing aids.
Licensing authority: Virginia Board for Hearing Aid Specialists and Opticians · Application information
Licensure for an examination exempt Virginia doctoral audiologist
- Application
- Submit the application and applicable fee with conviction/discipline disclosures and nonresident consent to suits.
- Documentation
- Provide the professional license and the certification/eligibility documentation or doctoral transcript specified in application question 13.
- Examination exemption
- The controlling statute exempts this applicant from all examination prerequisites.
- Professional qualification
- Hold a Virginia audiologist license and a doctoral degree in audiology.
Official no-examination sources
Effective from 2026-09-22.
- Code of Virginia, section 54.1-1501
54.1-1501(D)
- Hearing Aid Specialist License Application
Page 3, question 13D
Licensure for a Virginia audiologist without the statutory doctoral exemption
All of the following:
- Application
- Submit the signed application and fee and acknowledge Chapter 15 of Title 54.1 and 18VAC80-20.
- Audiologist license
- Hold a Virginia audiologist license without meeting the doctoral-degree exemption in section 54.1-1501(D).
- Board approval
- Obtain Board approval before taking examinations.
- Board review
- The Board may investigate qualifications or require a personal interview.
- Contact information
- Provide physical and email addresses; a post-office box may be secondary.
- Criminal disclosure
- Disclose the convictions specified by 18VAC80-20-30(A)(5); suitability is evaluated under section 54.1-204.
- Education
- High school completion or high-school equivalency (18VAC80-20-30(A)(2)).
- Examination time limit
- Pass all examinations within two years after the Board determines examination eligibility; otherwise reapply and repeat all examinations.
- Licensure good standing
- Good standing wherever licensed, with disclosure of past suspensions, revocations, surrenders, and discipline under 18VAC80-20-30(A)(6).
- Minimum age
- At least 18 years old (18VAC80-20-30(A)(1)).
- Nonresident service
- Maintain irrevocable consent to Department service of process for Virginia actions.
- Partial waiver
- The Board FAQ states: Licensed Audiologists are exempt from certain portions of the hearing aid specialist exam. Please contact the HASOPT board at 1-804-367-8509 or email hasopt@dpor.virginia.gov to determine which section you will need to take. The specific exempted portions are an applicant condition; all currently identified examinations remain leaves.
- Training scope
- Document training and experience in all fourteen subjects of 18VAC80-20-30(A)(3): sound physics; maintenance and repair; ear anatomy and physiology; amplification; visible disorders and medical referrals; practical selection/modification tests; audiometry; masking; audiogram and speech evaluation; earmold impressions; earmold selection; hearing-aid orientation; after-fitting checks; and social or other resources for hearing-impaired clients.
Licensure by endorsement after five years of active professional engagement
- Active practice
- Demonstrate active engagement in the profession for the preceding five years; only the rules and regulations examination is required under 18VAC80-20-50(B).
- Application
- Submit the endorsement application and fee.
- Board form requirement
- The current application states: Endorsement candidates are required to pass the rules and regulations portion of the exam.
- Current license
- Current hearing-aid-specialist license in good standing from another jurisdiction.
- Specified examination sections
- 18VAC80-20-50(A) requires the Board-specified examination sections; the Board may excuse portions based on applicant qualifications.
- Substantial equivalence
- The requirements and standards of the other license must be substantially equivalent to, and not conflict with, Virginia regulations.
- Verification
- Licensure/good-standing certification must be sent directly by every licensing authority and dated within 60 days, as the application requires.
Licensure by endorsement without the five year practice exception
All of the following:
- Application
- Submit the endorsement application and fee.
- Board form requirement
- The current application states: Endorsement candidates are required to pass the rules and regulations portion of the exam.
- Current license
- Current hearing-aid-specialist license in good standing from another jurisdiction.
- Specified examination sections
- 18VAC80-20-50(A) requires the Board-specified examination sections; the Board may excuse portions based on applicant qualifications.
- Substantial equivalence
- The requirements and standards of the other license must be substantially equivalent to, and not conflict with, Virginia regulations.
- Verification
- Licensure/good-standing certification must be sent directly by every licensing authority and dated within 60 days, as the application requires.
Licensure by examination through documented education and experience
All of the following:
- Application
- Submit the signed application and fee and acknowledge Chapter 15 of Title 54.1 and 18VAC80-20.
- Board approval
- Obtain Board approval before taking examinations.
- Board review
- The Board may investigate qualifications or require a personal interview.
- Contact information
- Provide physical and email addresses; a post-office box may be secondary.
- Criminal disclosure
- Disclose the convictions specified by 18VAC80-20-30(A)(5); suitability is evaluated under section 54.1-204.
- Education
- High school completion or high-school equivalency (18VAC80-20-30(A)(2)).
- Examination time limit
- Pass all examinations within two years after the Board determines examination eligibility; otherwise reapply and repeat all examinations.
- Licensure good standing
- Good standing wherever licensed, with disclosure of past suspensions, revocations, surrenders, and discipline under 18VAC80-20-30(A)(6).
- Minimum age
- At least 18 years old (18VAC80-20-30(A)(1)).
- Nonresident service
- Maintain irrevocable consent to Department service of process for Virginia actions.
- Training scope
- Document training and experience in all fourteen subjects of 18VAC80-20-30(A)(3): sound physics; maintenance and repair; ear anatomy and physiology; amplification; visible disorders and medical referrals; practical selection/modification tests; audiometry; masking; audiogram and speech evaluation; earmold impressions; earmold selection; hearing-aid orientation; after-fitting checks; and social or other resources for hearing-impaired clients.
- Training verification
- Certified transcript from an accredited college or university, or notarized documentation of the required training and experience.
Licensure by examination after a registered apprenticeship
All of the following:
- Application
- Submit the signed application and fee and acknowledge Chapter 15 of Title 54.1 and 18VAC80-20.
- Board approval
- Obtain Board approval before taking examinations.
- Board review
- The Board may investigate qualifications or require a personal interview.
- Contact information
- Provide physical and email addresses; a post-office box may be secondary.
- Criminal disclosure
- Disclose the convictions specified by 18VAC80-20-30(A)(5); suitability is evaluated under section 54.1-204.
- Education
- High school completion or high-school equivalency (18VAC80-20-30(A)(2)).
- Examination time limit
- Pass all examinations within two years after the Board determines examination eligibility; otherwise reapply and repeat all examinations.
- Licensure good standing
- Good standing wherever licensed, with disclosure of past suspensions, revocations, surrenders, and discipline under 18VAC80-20-30(A)(6).
- Minimum age
- At least 18 years old (18VAC80-20-30(A)(1)).
- Nonresident service
- Maintain irrevocable consent to Department service of process for Virginia actions.
- Training scope
- Document training and experience in all fourteen subjects of 18VAC80-20-30(A)(3): sound physics; maintenance and repair; ear anatomy and physiology; amplification; visible disorders and medical referrals; practical selection/modification tests; audiometry; masking; audiogram and speech evaluation; earmold impressions; earmold selection; hearing-aid orientation; after-fitting checks; and social or other resources for hearing-impaired clients.
- Training verification
- Completion form from the Virginia Department of Workforce Development and Advancement showing all required related instruction, or an equivalent out-of-state registered apprenticeship. Section 54.1-1501(E) exempts apprentices from holding a license while serving in hearing-aid establishments.
Licensure by examination using equivalent military training
All of the following:
- Application
- Submit the signed application and fee and acknowledge Chapter 15 of Title 54.1 and 18VAC80-20.
- Board approval
- Obtain Board approval before taking examinations.
- Board review
- The Board may investigate qualifications or require a personal interview.
- Contact information
- Provide physical and email addresses; a post-office box may be secondary.
- Criminal disclosure
- Disclose the convictions specified by 18VAC80-20-30(A)(5); suitability is evaluated under section 54.1-204.
- Education
- High school completion or high-school equivalency (18VAC80-20-30(A)(2)).
- Examination time limit
- Pass all examinations within two years after the Board determines examination eligibility; otherwise reapply and repeat all examinations.
- Licensure good standing
- Good standing wherever licensed, with disclosure of past suspensions, revocations, surrenders, and discipline under 18VAC80-20-30(A)(6).
- Military training
- Honorably discharged applicants receive credit for substantially equivalent military training, education, or experience; only the equivalent portion is credited when the full training is not equivalent. Provide Board-requested documentation.
- Minimum age
- At least 18 years old (18VAC80-20-30(A)(1)).
- Nonresident service
- Maintain irrevocable consent to Department service of process for Virginia actions.
- Training scope
- Document training and experience in all fourteen subjects of 18VAC80-20-30(A)(3): sound physics; maintenance and repair; ear anatomy and physiology; amplification; visible disorders and medical referrals; practical selection/modification tests; audiometry; masking; audiogram and speech evaluation; earmold impressions; earmold selection; hearing-aid orientation; after-fitting checks; and social or other resources for hearing-impaired clients.
Licensure by examination after supervised permit training
All of the following:
- Application
- Submit the signed application and fee and acknowledge Chapter 15 of Title 54.1 and 18VAC80-20.
- Board approval
- Obtain Board approval before taking examinations.
- Board review
- The Board may investigate qualifications or require a personal interview.
- Contact information
- Provide physical and email addresses; a post-office box may be secondary.
- Criminal disclosure
- Disclose the convictions specified by 18VAC80-20-30(A)(5); suitability is evaluated under section 54.1-204.
- Education
- High school completion or high-school equivalency (18VAC80-20-30(A)(2)).
- Examination time limit
- Pass all examinations within two years after the Board determines examination eligibility; otherwise reapply and repeat all examinations.
- Licensure good standing
- Good standing wherever licensed, with disclosure of past suspensions, revocations, surrenders, and discipline under 18VAC80-20-30(A)(6).
- Minimum age
- At least 18 years old (18VAC80-20-30(A)(1)).
- Nonresident service
- Maintain irrevocable consent to Department service of process for Virginia actions.
- Training scope
- Document training and experience in all fourteen subjects of 18VAC80-20-30(A)(3): sound physics; maintenance and repair; ear anatomy and physiology; amplification; visible disorders and medical referrals; practical selection/modification tests; audiometry; masking; audiogram and speech evaluation; earmold impressions; earmold selection; hearing-aid orientation; after-fitting checks; and social or other resources for hearing-impaired clients.
- Training verification
- Sponsor certification and at least six months of training and experience under the training/temporary permit.
Expedited permanent licensure for a qualifying military spouse
All of the following:
- Application
- Submit the endorsement application and fee.
- Board form requirement
- The current application states: Endorsement candidates are required to pass the rules and regulations portion of the exam.
- Complete application
- Submit a complete application and the Military Spouse Expedited License Application.
- Current license
- Current hearing-aid-specialist license in good standing from another jurisdiction.
- Relocation
- Accompany the spouse to Virginia, an adjoining state, or the District of Columbia.
- Specified examination sections
- 18VAC80-20-50(A) requires the Board-specified examination sections; the Board may excuse portions based on applicant qualifications.
- Spouse status
- Spouse is on qualifying federal active-duty orders or is a veteran who left active duty within one year before the application.
- Substantial equivalence
- The Board determines whether the same or similar credential is substantially equivalent and whether disqualifying disciplinary grounds exist.
- Verification
- Licensure/good-standing certification must be sent directly by every licensing authority and dated within 60 days, as the application requires.
- Waiver
- The Board may waive experience based on documentation; examination exemptions depend on the underlying endorsement qualifications. Five-year endorsement applicants need only rules and regulations under 18VAC80-20-50(B).
Licensure for an examination exempt Virginia otolaryngology physician
- Application
- Submit the application and applicable fee with conviction/discipline disclosures and nonresident consent to suits.
- Documentation
- Provide the professional license and the certification/eligibility documentation or doctoral transcript specified in application question 13.
- Examination exemption
- The controlling statute exempts this applicant from all examination prerequisites.
- Professional qualification
- Hold a Virginia physician license and American Board of Otolaryngology certification or eligibility for that certification.
Official no-examination sources
Effective from 2026-09-22.
- Code of Virginia, section 54.1-1501
54.1-1501(A)
- Hearing Aid Specialist License Application
Page 3, question 13A
Reapplication after a license has been expired for two years
All of the following:
- Application
- Submit the signed application and fee and acknowledge Chapter 15 of Title 54.1 and 18VAC80-20.
- Board approval
- Obtain Board approval before taking examinations.
- Board review
- The Board may investigate qualifications or require a personal interview.
- Contact information
- Provide physical and email addresses; a post-office box may be secondary.
- Criminal disclosure
- Disclose the convictions specified by 18VAC80-20-30(A)(5); suitability is evaluated under section 54.1-204.
- Education
- High school completion or high-school equivalency (18VAC80-20-30(A)(2)).
- Examination time limit
- Pass all examinations within two years after the Board determines examination eligibility; otherwise reapply and repeat all examinations.
- Expired license
- At two years after license expiration, reinstatement is no longer available; apply as a new applicant and meet current education, examination, and experience requirements.
- Licensure good standing
- Good standing wherever licensed, with disclosure of past suspensions, revocations, surrenders, and discipline under 18VAC80-20-30(A)(6).
- Minimum age
- At least 18 years old (18VAC80-20-30(A)(1)).
- Nonresident service
- Maintain irrevocable consent to Department service of process for Virginia actions.
- Training scope
- Document training and experience in all fourteen subjects of 18VAC80-20-30(A)(3): sound physics; maintenance and repair; ear anatomy and physiology; amplification; visible disorders and medical referrals; practical selection/modification tests; audiometry; masking; audiogram and speech evaluation; earmold impressions; earmold selection; hearing-aid orientation; after-fitting checks; and social or other resources for hearing-impaired clients.
Reinstatement following suspension for a dishonored fee payment
- Payment
- Pay the fee and penalties required by statute or regulation.
- Suspension basis
- Suspension under section 54.1-104 for a dishonored fee payment, which that section says is not disciplinary action.
Official no-examination sources
Effective from 2026-09-22.
- Code of Virginia, Title 54.1
54.1-104, reinstatement upon payment
Reinstatement after expiration within the two year limit
- Application
- Use the Board reinstatement form and pay the reinstatement fee.
- Board review
- The Board may deny reinstatement on initial-licensure or disciplinary grounds.
- Status
- The reinstated license retains its license number and is treated as continuous licensure under 18VAC80-20-140(C)-(D).
- Time limit
- Apply more than 30 days after expiration but before two years after expiration.
Official no-examination sources
Effective from 2026-09-22.
- 18VAC80-20 Hearing Aid Specialists Regulations
18VAC80-20-140(A)(1)
- 18VAC80-20 Hearing Aid Specialists Regulations
18VAC80-20-140(A)(2)
Biennial license renewal
- Discipline
- The Board may deny renewal on the grounds provided by the regulations.
- Payment
- Return the appropriate renewal fee before expiration; a license more than 30 days expired requires reinstatement.
- Renewal period
- Licenses expire two years after their effective date.
Official no-examination sources
Effective from 2026-09-22.
- 18VAC80-20 Hearing Aid Specialists Regulations
18VAC80-20-90(A)-(C)
Renewal after an overseas military or diplomatic service extension
- Extension
- Authorization remains unexpired during service and 60 days thereafter, subject to a maximum five-year extension from its original expiration.
- Qualifying service
- Qualifying Virginia citizens in military or diplomatic service outside the United States, and accompanying military spouses.
- Renewal fee
- The ordinary renewal fee and applicable renewal conditions still apply.
Official no-examination sources
Effective from 2026-09-22.
- 18VAC80-20 Hearing Aid Specialists Regulations
18VAC80-20-90(A)-(C)
- Code of Virginia, Title 54.1
54.1-117, expiration extensions
Universal recognition of an existing license
- Criminal record
- No disqualifying conviction under section 54.1-204.
- Disciplinary record
- No disqualifying disciplinary history; the statutory financial-penalty exception applies only when no public health or economic harm occurred.
- Existing license
- Hold a current valid governmental license/certificate for a similar scope of practice for at least one year.
- Fees
- Pay applicable fees and provide the required licensing verification.
- Good standing
- No pending investigation or unresolved complaint; remain in good standing.
- Original qualification
- The original licensing jurisdiction required an examination and education, training, or experience. Its own examination is an applicant condition, not a Virginia examination leaf.
- State law examination
- DPOR may require the Virginia rules and regulations examination; the Board determination is an applicant condition.
Universal recognition of experience in an unregulated jurisdiction
All of the following:
- Criminal record
- Meet section 54.1-205(B)(5).
- Disciplinary record
- Meet section 54.1-205(B)(6).
- Examinations
- Section 54.1-205(C)(3) requires Board-required examinations. The form requests proof of a National/Board-approved examination if already passed, or the Virginia examination after Board review if not passed. Prior proof and exemptions are applicant conditions.
- Experience verification
- Provide the Universal Recognition Experience Verification Form.
- Fees
- Pay applicable fees under section 54.1-205(B)(7).
- State law examination
- DPOR may additionally require the rules and regulations examination under section 54.1-205(E).
- Work experience
- At least three years of work with a similar scope in a United States jurisdiction that does not regulate this profession.
Temporary License for Military Spouses
Temporary authorization not exceeding 12 months while substantial-equivalency review or Virginia-specific requirements remain pending.
Licensing authority: Virginia Board for Hearing Aid Specialists and Opticians · Application information
Temporary military spouse licensure pending equivalency review
- Eligibility
- Meet section 54.1-119(A): qualifying spouse/relocation, complete application, same or similar credential, and no disqualifying disciplinary act.
- Pending requirements
- The authorization permits practice during review or completion of Virginia-specific requirements. Those later ordinary-license requirements remain on the permanent-licensure route.
- Review delay
- The Board cannot complete review or a substantial-equivalency determination within 20 days of a complete application.
- Term
- Not more than 12 months.
Official no-examination sources
Effective from 2026-09-22.
- Code of Virginia, Title 54.1
54.1-119(A), eligibility for expedited licensure
- Code of Virginia, Title 54.1
54.1-119(B), temporary authorization pending review
- Code of Virginia, Title 54.1
54.1-119(C)-(D)
Hearing Aid Specialist Training Permit
The statute calls this a training permit; the regulation calls the supervised-training authorization a temporary permit.
Licensing authority: Board for Hearing Aid Specialists and Opticians · Application information
Extension of the training permit for documented good cause
- Board discretion
- The Board decides whether to grant the extension.
- Documentation deadline
- Submit documentation within 12 months after expiration or within six months after completion of military/Peace Corps service, whichever is later.
- Good cause
- Serious personal illness or injury, death of an immediate family member, military or Peace Corps service, or similar Board-approved cause.
Official no-examination sources
Effective from 2026-09-22.
- 18VAC80-20 Hearing Aid Specialists Regulations
18VAC80-20-40(A)(2)
Initial supervised training permit issuance
- Age
- At least 18 years old.
- Application
- Submit the training/temporary permit application, sponsor agreement and fee. The application says a person who already holds or held a temporary permit is not eligible for another.
- Conversion examinations
- 18VAC80-20-40(A)(1) directs the former permit holder to sit for examinations after the training period. Those are the separate ordinary-license issuance requirements; training-permit issuance itself requires no passed examination.
- Disclosures
- Provide the criminal, disciplinary, address and email disclosures and signed legal-understanding statement required by 18VAC80-20-40(C).
- Education
- Complete high school or a high-school equivalency course.
- Sponsor
- Identify a licensed sponsor who certifies responsibility, training and supervision.
- Statutory name
- The current statute calls this a training permit; the current implementing rule and form still call it a temporary permit.
- Term
- The current implementing regulation provides an 18-month training permit.
Official no-examination sources
Effective from 2026-09-22.
- Code of Virginia, section 54.1-1504.1
54.1-1504.1(A)
- 18VAC80-20 Hearing Aid Specialists Regulations
18VAC80-20-40(A), training purpose
- 18VAC80-20 Hearing Aid Specialists Regulations
18VAC80-20-40(C), temporary permit applicant qualifications
- 18VAC80-20 Hearing Aid Specialists Regulations
18VAC80-20-40(A)(1)
Hearing Aid Specialist Work Permit
Statutory permit for an applicant eligible for examination; issuance is discretionary and its period is to be specified by Board regulations.
Licensing authority: Virginia Board for Hearing Aid Specialists and Opticians
Discretionary work permit issuance to an examination eligible applicant
- Board discretion
- The Board may issue the permit, and the holder is subject to Board regulations.
- Duration
- Section 54.1-1504.1(C) directs the Board to specify the permit period by regulation; the statute itself states no duration.
- Eligibility
- The applicant must be eligible for examination to become a licensed hearing aid specialist.
- Examination relationship
- Eligibility for examination is an applicant condition. Passing an examination is not an issuance condition in section 54.1-1504.1(B); obtaining the ordinary license remains a separate route.
Official no-examination sources
Effective from 2026-09-22.
- Code of Virginia, section 54.1-1504.1
54.1-1504.1(B)
- Code of Virginia, section 54.1-1504.1
54.1-1504.1(C)
International Licensing Examination for Hearing Healthcare Professionals
- Provider
- International Hearing Society (IHS); scheduled and paid through the TestWise system at testing centers
- Format
- Practice-based computer-delivered multiple-choice examination; most questions present a scenario; a few questions require selecting two (or three) correct answers to earn one point; dichotomous right/wrong scoring
- Exam questions
- 105 multiple-choice questions: 80 scored and 25 unscored pilot questions
- Time limit
- 120 minutes (two hours)
- Passing score
- Pass/Fail on the overall raw score against the IHS-recommended passing score; the licensing agency makes the final decision
- Exam fee
- $260.00 (USD) per examination appointment, including re-takes, plus applicable taxes
Examination outline
Domain 1. Conduct Patient/Client Assessment (21%) (21%)
- Objective 1.1 Apply infection control protocols (5%). Includes but is not limited to choosing appropriate infection control processes for tools and equipment; observing universal precautions for infection control; distinguishing between single- and multiple-use items; differentiating among sanitization, disinfection and sterilization processes; and identifying personal protective equipment.
- Objective 1.2 Apply otoscopic inspection protocols (5%). Includes but is not limited to observing safety protocols during otoscopy; identifying anatomical structures; identifying abnormalities through otoscopic inspection; and recognizing the presence of referral criteria. This objective helps provide evidence of the candidate’s ability to perform otoscopy.
- Objective 1.3 Utilize audiometric testing protocols (11%). Includes but is not limited to performing air and bone conduction threshold and suprathreshold testing; performing speech audiometry; performing effective masking; and applying principles to include interpreting results of tympanometry/immittance audiometry. This objective helps provide evidence of the candidate’s ability to perform audiometric testing and application of tympanometry.
Domain 2. Interpret and Apply Assessment Results (22%) (22%)
- Objective 2.1 Interpret and explain audiometric results (11%). Includes but is not limited to demonstrating an understanding of referral criteria; interpreting pure tone and speech testing results; identifying the need for additional testing; identifying the degree and configuration of hearing loss; and identifying the type of hearing loss.
- Objective 2.2 Determine candidacy for amplification (11%). Includes but is not limited to interpreting the case history and outlining contraindications to hearing instrument use.
Domain 3. Select Hearing Devices (18%) (18%)
- Objective 3.1 Select style and type of hearing instruments (9%). Includes but is not limited to establishing fitting goals and selecting specific hearing instruments based on test results, case history, and individual patient/client preferences and lifestyle; selecting electroacoustic and physical properties; and evaluating the need for accessory devices.
- Objective 3.2 Select earmold or other acoustic coupler (9%). Includes but is not limited to assessing physical properties of the outer ear, taking ear impressions, critiquing ear impressions, and selecting coupler based on patient/client needs.
Domain 4. Fit and Dispense Hearing Devices (20%) (20%)
- Objective 4.1 Utilize protocols to fit hearing instruments and other devices (10%). Includes but is not limited to confirming physical and acoustic integrity of hearing devices; programming and adjusting hearing devices; verifying physical fit and acoustic comfort; orienting patient/client to hearing instruments; and orienting patient/client to assistive devices. This objective helps provide evidence of the candidate’s ability to program and dispense hearing instruments and other devices.
- Objective 4.2 Verify fitting (5%). Includes but is not limited to selecting verification method based on patient/client; assessing physical and acoustic integrity of hearing devices; interpreting and explaining verification results; and modifying physical and acoustic parameters of device. This objective helps provide evidence of the candidate’s ability to perform fitting verification (e.g., speech mapping, REM).
- Objective 4.3 Validate fitting (5%). Includes but is not limited to selecting validation method based on patient/client; interpreting and explaining validation results; and modifying physical and acoustic parameters of device. This objective helps provide evidence of the candidate’s ability to perform fitting validation (e.g., questionnaire, self-assessment).
Domain 5. Provide Continuing Care (19%) (19%)
- Objective 5.1 Implement aural rehabilitation and counseling (8%). Includes but is not limited to demonstrating an understanding of the psychology of the hearing impaired; defining and managing patient/client expectations for improved communication; defining and managing family/caregiver expectations for improved communication; and identifying communication strategies.
- Objective 5.2 Apply instrument maintenance and troubleshooting protocols (9%). Includes but is not limited to employing hearing instrument cleaning procedures; performing listening checks on hearing instruments; troubleshooting acoustic properties of hearing instruments; and adjusting based upon changes in patient/client hearing loss and/or listening needs. This objective helps provide evidence of the candidate’s ability to maintain and troubleshoot instrument performance.
- Objective 5.3 Interpret electroacoustic analysis results (2%). Includes but is not limited to identifying need for electroacoustic analysis and comparing electroacoustic analysis of patient’s/client’s hearing instruments to fitting specifications.
Examination sources
- 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)
Virginia Hearing Aid Specialist Practical Examination
This assessment does not have a question bank.
- Provider
- Virginia Department of Professional and Occupational Regulation
- Format
- Practical examination with four separately passed sections
- Passing score
- Each practical section must be passed; failed sections are retaken.
Examination outline
- Audiograms
- Speech Testing
- Earmold Impressions
- Hearing Modification & Repairs
Examination sources
- Hearing Aid Specialist Re-Examination Application
Page 1, practical sections in examination-selection table
- Hearing Aid Specialist Re-Examination Application
Page 1, examination-selection table, Practical Examination - Part II
- 18VAC80-20 Hearing Aid Specialists Regulations
18VAC80-20-80(C)(1)
- Board for Hearing Aid Specialists and Opticians
Education & Exams / Hearing Aid Specialists / Exam Administrator
- 18VAC80-20 Hearing Aid Specialists Regulations
18VAC80-20-80(A)
hearing aid specialist rules/regulation examination
- Provider
- PSI Services LLC
- Format
- Computer-administered question examination
- Exam questions
- 25
- Time limit
- 1 hour
- Passing score
- 75%
Practice scope
Inferred from the examination name; the authority has not published an examination outline.
- Code of Virginia, Title 54.1, Chapter 1. General Provisions
- Code of Virginia, Title 54.1, Chapter 2. General Provisions
- Code of Virginia, Title 54.1, Chapter 3. Department of Professional and Occupational Regulation
- Code of Virginia, Title 54.1, Chapter 15. Hearing Aid Specialists and Opticians
- 18VAC80-20. Hearing Aid Specialists Regulations
Examination sources
- Hearing Aid Specialist Rules/Regulation Examination Candidate Information Bulletin
Cover, examination title
- Board for Hearing Aid Specialists and Opticians
Laws & Regulations / Statutes and Regulations
- 18VAC80-20 Hearing Aid Specialists Regulations
18VAC80-20-270(5)
- 18VAC80-20 Hearing Aid Specialists Regulations
18VAC80-20-30(A)(9)
- Hearing Aid Specialist Rules/Regulation Examination Candidate Information Bulletin
Page 5, Score Reporting
- Hearing Aid Specialist Rules/Regulation Examination Candidate Information Bulletin
Page 5, Test Question Screen
- Hearing Aid Specialist Rules/Regulation Examination Candidate Information Bulletin
Page 5, Taking the Examination by Computer
- Hearing Aid Specialist Rules/Regulation Examination Candidate Information Bulletin
Page 2, Examination Eligibility Requirements
- Board for Hearing Aid Specialists and Opticians
Education & Exams / Hearing Aid Specialists / Exam Administrator
- 18VAC80-20 Hearing Aid Specialists Regulations
18VAC80-20-80(A)