ARSD 20:46:01:04. Physician consultation advised

A licensed hearing aid dispenser must advise the customer or prospective customer, in writing, that the customer's best interests would be served by consulting a physician prior to the licensed hearing aid dispenser's determination for fitting a hearing aid if the licensed hearing aid dispenser finds any of the following conditions to exist during an examination or consultation: (1) Visible congenital or traumatic deformity of the ear; (2) Active discharge from the ear within the previous ninety days or history of intermittent discharge; (3) Sudden or rapidly progressive hearing loss within the previous ninety days; (4) Acute or chronic dizziness; (5) An air-bone gap of fifteen-to-twenty decibels, or more, in the audiogram; or (6) Visible evidence of excessive buildup of cerumen, or a foreign body, in the ear canal.