The following information and measurements shall be included in each customer/patient file or permanent record, and documented for the client:

1. (1) A description, including location of any visible, congenital or deformity of the ear;
2. (2) Whether the client has active, or a history of, drainage from the ear within the last 90 days.
3. (3) Whether the client has acute or chronic dizziness;
4. (4) Whether the client has unilateral hearing loss of a sudden or recent onset within the previous 90 days;
5. (5) Whether the client has a history of sudden or rapidly progressive hearing loss within the previous 90 days;
6. (6) Whether the client has an Audiometric Air Bone Gap equal to or greater than 15 decibels at 500 Hertz, 1000 Hertz and 2000 Hertz;
7. (7) Whether the client has visible evidence of significant cerumen accumulation or a foreign body in the ear canal; and
8. (8) All documentation required in instances where exceptions have occurred.

Added at 40 Ok Reg 1554, eff 9-11-23