Pennsylvania Statutes Title 35 P.S. Health and Safety § 6700-402. Referral to physician

(1) Visible congenital or traumatic deformity of the ear.

(2) Active drainage from the ear within the previous 90 days or history of this symptom.

(3) Sudden or rapidly progressive hearing loss within the previous 90 days or history of this symptom.

(4) Acute or chronic dizziness.

(5) Unilateral hearing loss of sudden or recent onset within the previous 90 days.

(6) Visible evidence of cerumen accumulation or a foreign body in the ear canal.

(7) Significant air-bone gap, when generally acceptable standards have been established.

(8) Pain in the ear within the previous 90 days.

Whenever any of the aforementioned conditions are found to exist either from observations by the registrant or on the basis of information furnished by the prospective hearing aid user, the registrant shall not sell or fit a hearing aid to such person without a written recommendation from a licensed physician that a hearing aid may be beneficial to such person.