27Warning to Hearing InstrumentDispensersA hearing instrument dispenser should advise aprospective hearing instrument user to consult promptlywith a licensed physician (preferably an ear specialist)before dispensing a hearing instrument if the hearinginstrument dispenser determines through inquiry, actualobservation, or review of any other available informationconcerning the prospective user, that the prospectiveuser has any of the following conditions: (i) Visiblecongenital or traumatic deformity of the ear. (ii) History ofactive drainage from the ear within the previous 90 days.(iii) History of sudden or rapidly progressive hearing losswithin the previous 90 days. (iv) Acute or chronicdizziness. (v) Unilateral hearing loss of sudden or recentonset within the previous 90 days. (vi) Audiometric air-bone gap equal to or greater than 15 decibels at 500hertz (Hz), 1,000 Hz, and 2,000 Hz. (vii) Visible evidenceof significant cerumen accumulation or a foreign body inthe ear canal. (viii) Pain or discomfort in the ear. Specialcare should be exercised in selecting and fitting a hearinginstrument whose maximum sound pressure levelexceeds 132 decibels because there may be risk ofimpairing the remaining hearing of the hearinginstrument user. [This provision is required only for thosehearing instruments with a maximum sound pressurecapability greater than 132 decibels (dB).]