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(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.
Warning to hearing aid dispensers
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.