Missouri Licensing Requirements for Hearing Aid Dispensers

The information below is collected from state licensure boards or regulatory agencies responsible for regulating the professions of hearing aid dispensers. The information is reviewed on an annual basis. Please be advised that laws, regulations, and policies may change at any time, so always check with your state for the most up-to-date information.

Initial Licensure

  • be at least 18 years of age
  • be of good moral character
  • have passed a written and practical exam
  • holds an associate's degree or higher in hearing instrument sciences; an associate's degree or higher and submits proof of completion in the HIS Distance Learning for Professionals in Hearing Health Sciences course and Hearing Instrument Specialist Training Program established by the Board; or a master's or doctoral degree in audiology from a state or regionally accredited institution.


The Board shall issue a license to applicants who hold current, unsuspended, and unrevoked certificates or licenses to fit hearing instruments in such other state or jurisdiction provided the requirements are substantially equivalent.

The board shall issue a license to applicants who hold current, unsuspended and unrevoked certificates or licenses to fit hearing instruments in such other state or jurisdiction for no less than 48 of the last 72 months and submits proof of completion of advance certification from either the International Hearing Society or the National Board for Certification in Hearing Instrument Sciences.

Interim Practice

An applicant who fulfills the requirements regarding age, character, and education, but has not taken the exam, may obtain a temporary permit upon application to the Board. A holder of a temporary permit who is engaged in supervised training under a supervisor is authorized to use only the title "hearing instrument specialist in training", or its equivalent.

If a hearing instrument specialist in training has not successfully passed the licensing examination within one year from the date of issuance of the temporary permit, the temporary permit may be renewed by the Board once for a period of six months.

Continuing Education

The licensee shall obtain a minimum of 24 hours of approved educational hearing instrument programs during the current reporting period. The continuing education reporting period shall consist of a two-year period. It shall begin on January 1 of even numbered years and end on December 31 of the following year.

Audiologist Dispensing

Audiologists may dispense under an audiology license.

Trial Period

A hearing aid trial period is not addressed in the law/regulations.

Mail Order/Internet Sales

No person shall sell through the mails, hearing instruments without prior fitting and testing by a licensed hearing instrument specialist or a licensed audiologist.

Board Oversight

Board of Examiners for Hearing Instrument Specialists


For further information on laws and regulations for speech-language pathologists and audiologists, please visit these websites:

Questions regarding state advocacy issues? Call ASHA at 800-498-2071 and ask for the State Advocacy Team.

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