A licensee may fit and dispense a deep ear canal hearing aid device provided that

• A. The device is temporary and non-permanent
• B. The device is only used for non-clinical demonstrations
• C. The licensee obtains a note from the patient’s employer
• D. The licensee advises the committee on a form the name and address of a board certified ENT who has agreed to be constantly accessible through electronic communications and who is available to render immediate in person assistance when required

Answer: (D)

The key idea is that deep ear canal devices require medical oversight and immediate access to a physician. The law expects the licensee to have a formal arrangement with a board-certified ENT who can be reached at all times and who can provide in-person help right away if anything medical or mechanical goes wrong with the fitting or the patient’s ear health. This ensures patient safety given the deeper placement of the device and potential otologic issues that could arise.

Having the ENT’s name, address, and guaranteed availability documented on a form gives both the patient and the licensee a clear, enforceable plan for timely medical support. It reduces the risk that a problem would go unmanaged and helps ensure prompt assessment or intervention if needed.

The other options don’t provide this medical oversight or guaranteed accessibility. A temporary or non-permanent device doesn’t address ongoing safety and medical support. Demonstrations are not appropriate for actual dispensing. An employer note doesn’t establish the required medical contingency plan for emergency or urgent care.

So the correct approach aligns with patient safety and regulatory expectations by ensuring a readily accessible, board-certified ENT is involved and reachable whenever a deep ear canal device is fitted.