20:46:01:04.  Physician's consultation required. All hearing aid dispenser licensees in the state shall advise the customer or prospective customer, in writing, that the customer's best interests would be served by consulting a physician prior to the determination for fitting a hearing aid if the dispenser finds any of the following conditions to exist during an examination or consultation:

          (1)  Visible congenital or traumatic deformity of the ear;

          (2)  History of active discharge from the ear within the previous 90 days or history of intermittent discharge;

          (3)  History of recent sudden or rapidly progressive hearing loss within the previous 90 days;

          (4)  Acute or chronic dizziness;

          (5)  An air/bone gap of 15 to 20 decibels, or more, in the audiogram;

          (6)  The customer is 16 years of age or younger; or

          (7)  Visible evidence of cerumen accumulation or a foreign body in the ear canal.

          Source: SL 1975, ch 16, § 1; 2 SDR 58, effective March 8, 1976; 12 SDR 151, 12 SDR 155, effective July 1, 1986.

          General Authority:SDCL 36-24-12(8).

          Law Implemented:SDCL 36-24-12(12) and (13).