20 CSR 2165-2.010
Hearing Instrument Specialist in Training (Temporary Permits)
PURPOSE: This rule clarifies the process by which an individual
may apply for a permit to practice as a hearing instrument
specialist in training, and defines time limit and supervision
requirements for the temporary permit holder.
(1) Any individual seeking to develop the skills and training
necessary to obtain a temporary permit under section 346.075,
RSMo, shall register supervision and apply for a temporary
permit to engage in the practice of fitting hearing instruments
as defined by section 346.010(11), RSMo. An application for
registration of supervision shall be made on a form provided
by the board and must be accompanied by the appropriate
fee as prescribed in 20 CSR 2165-1.020. The application is not
considered complete until qualifications of the supervisor
match the criteria as prescribed in 20 CSR 2165-2.020.
(2) An approved temporary permit entitles the hearing
instrument specialist in training to engage in the practice of
fitting hearing instruments as defined by section 346.010(11),
RSMo, for a period of one (1) year.
(A) If a person holding a permit is not licensed within the
one- (1-) year period, the hearing instrument specialist in
training may renew the permit once for a period of six (6)
months upon payment of the applicable fee as prescribed in
(B) The six- (6-) month permit extension will immediately follow the expiration of the temporary permit, regardless of when
the application is received by the board. A hearing instrument
specialist in training shall not hold a temporary permit beyond
eighteen (18) months from the date the temporary permit was
originally issued.
(3) The hearing instrument specialist in training shall accrue
no less than one hundred (100) hours of supervision from
a licensed hearing instrument specialist registered as a
supervisor pursuant to 20 CSR 2165-2.020 prior to becoming
eligible for licensure by examination.
(4) If the hearing instrument specialist in training ceases
to practice under an approved supervisor and/or changes
supervision, the specialist in training shall notify the board by
filing a change of supervision form and paying the change of
supervision fee as defined in 20 CSR 2165-1.020.
(5) Each applicant for a hearing instrument specialist in
training permit as provided in section 346.075, RSMo, must
indicate on the application form the name, business address
and license number of the registered supervisor.
(6) Upon completion of any registered supervised experience,
the hearing instrument specialist in training shall request
an attestation form from the board to be completed by the
registered supervisor and returned to the board.
(7) The hearing instrument specialist in training must be
identified by a temporary permit number and the words
“hearing instrument specialist in training,” on any sales
contract or other documents available to the consumer,
including marketing and referring to the temporary permit
holder. Initials or acronyms representing these titles shall not
be used.
(8) A temporary permit is not required for students attending
a hearing sciences program at an accredited college or university who are participating in a practicum to complete that
program. The student must be under the direct supervision of
a registered supervisor. Direct supervision means the licensed
hearing instrument specialist is on the premises where the
patient is being treated and is quickly and easily available and
the patient has been examined by a licensed hearing instrument specialist. Such students shall not identify themselves as
a “hearing instrument specialist,” “hearing instrument specialist in training,” or a “temporary permit holder.”
AUTHORITY: sections 346.070, 346.075, 346.080, and 346.125, RSMo
2016.* This rule originally filed as 4 CSR 165-2.010. Emergency rule
filed March 18, 1996, effective March 28, 1996, expired Sept. 23,
1996. Emergency rule filed Oct. 28, 1996, effective Nov. 7, 1996,
expired May 5, 1997. Original rule filed Oct. 16, 1996, effective May
30, 1997. Amended: Filed June 22, 1999, effective Dec. 30, 1999.
Amended: Filed April 1, 2003, effective Sept. 30, 2003. Amended:
Filed March 15, 2004, effective Sept. 30, 2004. Moved to 20 CSR
2165-2.010, effective Aug. 28, 2006. Amended: Filed June 27, 2008,
effective Dec. 30, 2008. Amended: Filed Dec. 30, 2008, effective July
30, 2009. Amended: Filed May 18, 2022, effective Nov. 30, 2022.
*Original authority: 346.070, RSMo 1973, amended 1995, 2009; 346.075, RSMo 1973,
amended 1981, 1995, 2009; 346.080, RSMo 1973, amended 1981, 1995, 2009; and
346.125, RSMo 1973, amended 1981, 1995, 2009.