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• Pain or discomfort in the ear;
• Abnormal appearance of the eardrum and
ear canal such as:
- Inflammation of the external auditory
canal,
- Perforated eardrum;
- Other abnormalities which the HCP believes
are of medical concern
The hearing care professional may decide that a
referral is not appropriate or in the best interests of
the patient when the following applies:
• When there is sucient evidence that
the condition has been fully investigated
by a medical specialist and any possible
treatment has been provided;
• The condition has not worsened or changed
signicantly since the previous investigation
and / or treatment.
If the patient has given their informed and
competent decision not to accept advice to seek
a medical opinion, it is permissible to proceed
to recommend appropriate hearing aid systems
subject to the following considerations:
• The recommendation will not have any
adverse eects on the patients health or
general well being;
• The records conrm that all necessary
considerations about the patient’s best
interests have been made. If legally
required, the patient has signed a disclaimer
to conrm that the referral advice has not
been accepted and that it is an informed
decision.