Federal law allows a fully informed adult
to sign a waiver statement declining the
medical evaluation for religious or personal
beliefs that preclude consultation with a
physician. The exercise of such a waiver is
not in your best interest, and its use is
strongly discouraged.
Hearing healthcare providers should advise
a prospective hearing instrument user to
consult promptly with a licensed physician
(preferably an ear specialist) before
dispensing a hearing instrument if the
hearing healthcare provider determines
through inquiry, actual observation, or
review of any other available information,
that the prospective user has any of the
following conditions:
■
Visible congenital or traumatic deformity
of the ear.
■
History of active drainage from the ear
within the previous 90 days.
28
27
Notice to Prospective Users
continued
Notice For Hearing Healthcare Providers
■
History of sudden or rapidly progressive
hearing loss within the previous 90 days.
■
Acute or chronic dizziness.
■
Unilateral hearing loss of sudden or
recent onset within the previous 90 days.
■
Audiometric air-bone gap greater than or
equal to 15 decibels at 500 Hertz (Hz),
1000 Hz, and 2000 Hz.
■
Visible evidence of significant cerumen
(wax) accumulation or a foreign body in
the ear canal.
■
Pain or discomfort in the ear.
Special care should be exercised in selecting
and fitting a hearing instrument which has a
maximum sound pressure level in excess of
132 dB (decibels) because there may be a
risk of damaging the remaining hearing of
the hearing instrument user.
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