Board of Examiners for Hearing Instrument Specialists

Forms

 

NOTICE - NEW EDUCATION REQUIRMENTS

Please see the Application for License and/or the Application for Temporary Permit for the new educational requirements.

NOTICE - NEW TEMPORARY PERMIT HOLDER TRAINING REQUIRMENTS

Beginning July 2009, "As part of the trianing of a hearing instrument specialist in training, s/he shall attend classes that would be approved for a licensee to renew his/her license under 20 CSR 2165-2.050
(A) Three (3) hours of such training shall be completed every six (6) months.
(B) A person in training less than six (6) months need not complete such training.
(C) Proof of completion of such training shall be attached to the attestaion form completed by the registered supervisor."
Please see section 20 CSR 2165-2.010 regarding Hearing Instrument Spcialist in Training (Temporary Permits).

NOTICE -

All applications submitted to the Board's office must contain an original signature. No fax copies or emails will be accepted.


Abbreviated Application
Application for License
Application for Temporary Permit
Change of Supervision
Hearing Instrument Specialist Supervision Attestation Form
Registration of Supervision
Temporary Permit Extension Form