<html xmlns="http://www.w3.org/1999/xhtml"><head><meta charset="UTF-8" /><title></title><meta name="Generator" content="PowerTools for Open XML" /><style>span { white-space: pre-wrap; } p.s7f1c2153-f3af-4d38-90ac-ac369296ab62P0 { margin-top: 0; margin-bottom: 0; margin-left: 0; margin-right: 0; text-indent: 0.00in; text-align: justify; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; line-height: 108%; } span.s7f1c2153-f3af-4d38-90ac-ac369296ab62C0 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s7f1c2153-f3af-4d38-90ac-ac369296ab62C0-000000 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s7f1c2153-f3af-4d38-90ac-ac369296ab62C0-000001 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s7f1c2153-f3af-4d38-90ac-ac369296ab62000002 { color: black; background: white; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s7f1c2153-f3af-4d38-90ac-ac369296ab62C0-000003 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } p.s7f1c2153-f3af-4d38-90ac-ac369296ab62P0-000004 { margin-top: 0; margin-bottom: 0; margin-left: 0; margin-right: 0; text-indent: 0.00in; text-align: left; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; line-height: 108%; } </style></head><body><div><p dir="ltr" class="s7f1c2153-f3af-4d38-90ac-ac369296ab62P0"><span xml:space="preserve" class="s7f1c2153-f3af-4d38-90ac-ac369296ab62C0">    </span><a href="https://sdlegislature.gov/Rules?Rule=20:46:01:04"><span class="s7f1c2153-f3af-4d38-90ac-ac369296ab62C0-000000">20:46:01:04</span></a><span class="s7f1c2153-f3af-4d38-90ac-ac369296ab62C0-000001">.  Physician consultation advised.</span><span xml:space="preserve" class="s7f1c2153-f3af-4d38-90ac-ac369296ab62C0"> </span><span class="s7f1c2153-f3af-4d38-90ac-ac369296ab62C0">A licensed</span><span xml:space="preserve" class="s7f1c2153-f3af-4d38-90ac-ac369296ab62C0"> hearing aid dispenser </span><span class="s7f1c2153-f3af-4d38-90ac-ac369296ab62C0">must</span><span xml:space="preserve" class="s7f1c2153-f3af-4d38-90ac-ac369296ab62C0"> advise the customer or prospective customer, in writing, that the customer's best interests would be served by consulting a physician prior to the </span><span xml:space="preserve" class="s7f1c2153-f3af-4d38-90ac-ac369296ab62C0">licensed hearing aid dispenser's </span><span xml:space="preserve" class="s7f1c2153-f3af-4d38-90ac-ac369296ab62C0">determination for fitting a hearing aid if the </span><span xml:space="preserve" class="s7f1c2153-f3af-4d38-90ac-ac369296ab62C0">licensed hearing aid </span><span class="s7f1c2153-f3af-4d38-90ac-ac369296ab62C0">dispenser finds any of the following conditions to exist during an examination or consultation:</span></p><p dir="ltr" class="s7f1c2153-f3af-4d38-90ac-ac369296ab62P0"><span xml:space="preserve" class="s7f1c2153-f3af-4d38-90ac-ac369296ab62000002"> </span></p><p dir="ltr" class="s7f1c2153-f3af-4d38-90ac-ac369296ab62P0"><span xml:space="preserve" class="s7f1c2153-f3af-4d38-90ac-ac369296ab62C0">    (1)  Visible congenital or traumatic deformity of the ear;</span></p><p dir="ltr" class="s7f1c2153-f3af-4d38-90ac-ac369296ab62P0"><span xml:space="preserve" class="s7f1c2153-f3af-4d38-90ac-ac369296ab62C0">    (2)  </span><span class="s7f1c2153-f3af-4d38-90ac-ac369296ab62C0">A</span><span xml:space="preserve" class="s7f1c2153-f3af-4d38-90ac-ac369296ab62C0">ctive discharge from the ear within the previous </span><span class="s7f1c2153-f3af-4d38-90ac-ac369296ab62C0">ninety</span><span xml:space="preserve" class="s7f1c2153-f3af-4d38-90ac-ac369296ab62C0"> days or history of intermittent discharge;</span></p><p dir="ltr" class="s7f1c2153-f3af-4d38-90ac-ac369296ab62P0"><span xml:space="preserve" class="s7f1c2153-f3af-4d38-90ac-ac369296ab62C0">    (3)  </span><span class="s7f1c2153-f3af-4d38-90ac-ac369296ab62C0">S</span><span xml:space="preserve" class="s7f1c2153-f3af-4d38-90ac-ac369296ab62C0">udden or rapidly progressive hearing loss within the previous </span><span class="s7f1c2153-f3af-4d38-90ac-ac369296ab62C0">ninety</span><span xml:space="preserve" class="s7f1c2153-f3af-4d38-90ac-ac369296ab62C0"> days;</span></p><p dir="ltr" class="s7f1c2153-f3af-4d38-90ac-ac369296ab62P0"><span xml:space="preserve" class="s7f1c2153-f3af-4d38-90ac-ac369296ab62C0">    (4)  Acute or chronic dizziness;</span></p><p dir="ltr" class="s7f1c2153-f3af-4d38-90ac-ac369296ab62P0"><span xml:space="preserve" class="s7f1c2153-f3af-4d38-90ac-ac369296ab62C0">    (5)  An air</span><span class="s7f1c2153-f3af-4d38-90ac-ac369296ab62C0">-</span><span xml:space="preserve" class="s7f1c2153-f3af-4d38-90ac-ac369296ab62C0">bone gap of </span><span class="s7f1c2153-f3af-4d38-90ac-ac369296ab62C0">fifteen-to-twenty</span><span xml:space="preserve" class="s7f1c2153-f3af-4d38-90ac-ac369296ab62C0"> decibels, or more, in the audiogram;</span><span xml:space="preserve" class="s7f1c2153-f3af-4d38-90ac-ac369296ab62C0"> or</span></p><p dir="ltr" class="s7f1c2153-f3af-4d38-90ac-ac369296ab62P0"><span xml:space="preserve" class="s7f1c2153-f3af-4d38-90ac-ac369296ab62C0">    (6)  Visible evidence of </span><span xml:space="preserve" class="s7f1c2153-f3af-4d38-90ac-ac369296ab62C0">excessive buildup of </span><span class="s7f1c2153-f3af-4d38-90ac-ac369296ab62C0">cerumen</span><span class="s7f1c2153-f3af-4d38-90ac-ac369296ab62C0">,</span><span xml:space="preserve" class="s7f1c2153-f3af-4d38-90ac-ac369296ab62C0"> or a foreign body</span><span class="s7f1c2153-f3af-4d38-90ac-ac369296ab62C0">,</span><span xml:space="preserve" class="s7f1c2153-f3af-4d38-90ac-ac369296ab62C0"> in the ear canal.</span></p><p dir="ltr" class="s7f1c2153-f3af-4d38-90ac-ac369296ab62P0"><span xml:space="preserve" class="s7f1c2153-f3af-4d38-90ac-ac369296ab62000002"> </span></p><p dir="ltr" class="s7f1c2153-f3af-4d38-90ac-ac369296ab62P0"><span xml:space="preserve" class="s7f1c2153-f3af-4d38-90ac-ac369296ab62C0">    </span><span class="s7f1c2153-f3af-4d38-90ac-ac369296ab62C0-000001">Source:</span><span xml:space="preserve" class="s7f1c2153-f3af-4d38-90ac-ac369296ab62C0"> SL 1975, ch 16, § 1; 2 SDR 58, effective March 8, 1976; 12 SDR 151, 12 SDR 155, effective July 1, 1986</span><span class="s7f1c2153-f3af-4d38-90ac-ac369296ab62C0">; 52 SDR 35, effective October 7, 2025</span><span class="s7f1c2153-f3af-4d38-90ac-ac369296ab62C0">.</span></p><p dir="ltr" class="s7f1c2153-f3af-4d38-90ac-ac369296ab62P0"><span xml:space="preserve" class="s7f1c2153-f3af-4d38-90ac-ac369296ab62C0">    </span><span class="s7f1c2153-f3af-4d38-90ac-ac369296ab62C0-000001">General Authority:</span><span xml:space="preserve" class="s7f1c2153-f3af-4d38-90ac-ac369296ab62C0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=36-24-47"><span class="s7f1c2153-f3af-4d38-90ac-ac369296ab62C0-000003">36-24-</span><span class="s7f1c2153-f3af-4d38-90ac-ac369296ab62C0-000003">47</span></a><span class="s7f1c2153-f3af-4d38-90ac-ac369296ab62C0">.</span></p><p dir="ltr" class="s7f1c2153-f3af-4d38-90ac-ac369296ab62P0"><span xml:space="preserve" class="s7f1c2153-f3af-4d38-90ac-ac369296ab62C0">    </span><span class="s7f1c2153-f3af-4d38-90ac-ac369296ab62C0-000001">Law Implemented:</span><span xml:space="preserve" class="s7f1c2153-f3af-4d38-90ac-ac369296ab62C0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=36-24-1.7"><span class="s7f1c2153-f3af-4d38-90ac-ac369296ab62C0-000003">36-24-</span><span class="s7f1c2153-f3af-4d38-90ac-ac369296ab62C0-000003">1.7</span></a><span class="s7f1c2153-f3af-4d38-90ac-ac369296ab62C0">.</span></p><p dir="ltr" class="s7f1c2153-f3af-4d38-90ac-ac369296ab62P0-000004"><span xml:space="preserve" class="s7f1c2153-f3af-4d38-90ac-ac369296ab62000002"> </span></p></div></body></html>