OAR 331-670-0020: Additional Conditions For Referral

(1) In addition to the conditions listed in ORS 694.142(1), a licensee must refer the client to a physician as required under ORS 694.142(2) for the following: (a) Cerumen accumulation in the auditory canal preventing visual inspection of the external auditory canal or external auditory meatus and tympanic membrane or foreign body in the ear canal; (b) Pain or discomfort in the ear; (c) Tinnitus. (2) If the client refuses to seek a medical opinion from a licensed physician as defined in ORS 694.042 (1)(a), the licensee must obtain written refusal from the client on a Waiver of Medical Opinion form as required by ORS 694.142(6). The licensee must obtain the written refusal prior to the fitting or dispensing of a hearing aid. The Waiver of Medical Opinion form must include: (a) Licensee’s name; (b) Licensee’s license number; (c) Client’s name; (d) Client’s address; (e) Client contact information; (f) A statement that the person signing the form is refusing to seek a medical opinion from the physician to whom the client has been referred; (g) The signature of the person who is refusing; and (h) The date that the person signed the form.