N.H. Admin. Code § He-W 567.08

Current through Register No. 50, December 12, 2024

Section He-W 567.08 - Documentation

The hearing aid services provider shall maintain supporting records, including:

(a) An audiogram;

(b) Audiological and medical data, documenting the required criteria, as established in accordance with He-W 567, to support the request for the hearing aid(s) or pocket talker;

(c) For those recipients 21 years of age or over requesting binaural hearing aids in accordance with He-W 567.05(c) (2) b.1.(ii):

(1) A statement from the recipient's employer verifying the recipient's employment status, and including the employer's audiometric requirements for the particular position in which the recipient is employed;

(2) A statement from the audiologist that the recipient cannot meet the employer's audiometric requirements in (1) without the use of binaural hearing aids; and

(3) An audiogram which supports the audiologist's statement in (2) above; and

(d) A letter from the recipient's school verifying attendance or documentation confirming the recipient is receiving vocational training, if applicable.

N.H. Admin. Code § He-W 567.08

(See Revision Note at chapter heading He-W 500); ss by #6157, eff 12-29-95, EXPIRED: 12-29-03

New. #9480, eff 5-23-09

Amended by Volume XXXVIII Number 23, Filed June 7, 2018, Proposed by #12538, Effective 5/25/2018, Expires 5/25/2028.