Verification of Completion of Required Clinical Hours (HA5)
Please complete and submit the HA5 here. This form is mainly for HAD-LLs (Hearing-Aid Dispensers limited licensees).
If you are not an HAD-LL, please double check the form and the submission link you are using.
The limited licensee must submit the Form HA5 to the Board when the licensee has completed the required 6 months of clinical training with 20 consecutive days engaging in the practice of fitting and dispensing hearing aids while under at least 20 hours per month of direct supervision.