Examination Preparation
All Exam Parts: Recommended Readings
Current & General Information
Official Notice of Exam – February 2026 Exam
Licensing Exam: General Information
Part A: Simulator
Part A: Instructions for Simulator Exam
Part A: Simulator Practice Exams
Part B: Practicum
Part B: Practicum Exam Overview
Part B: Practicum Scoring Guidelines
Part B: Evaluating Ear Impression
Part B: Board Policy on Use of Models
Part B: OSHA’s Universal Precautions (use of gloves during exam)
This video demonstrates proper bracing techniques using the otoscope and may be beneficial to review in preparation for exam.
This video also demonstrates proper bracing techniques using the otoscope and may be beneficial to review in preparation for exam.
Part B: Bracing Video Example with otolight
Part B: Bracing Video Example with otoscope
Part B: Bracing Video Example Impression Gun
Part C: Laws and Regulations & Part D: The IHS Exam
Part C and D: Test Information
Part D (ILE) exam candidates can take the exam at any testing center that offers the ILE exam, however the exam candidate, must register for the ILE on the prescribed date and time indicated in the email from IHS and listed on the exam admission card.
Candidates who have registered with the Board to take Part D of the Board’s exam will receive an email from IHS with instructions about setting up a Webassessor account and registering for the ILE after the exam registration deadline for the exam you have registered for.
Effective January 3, 2026, the cost for the ILE will increase from $260+applicable taxes
(USD) to $260+applicable taxes (USD).
Exam Accommodations Request
Exam Accommodations Request Form – PARTS A, B, & C
IHS Candidate Accommodations Request Form – PART D Only
Standards of Safety
The recommended Standards of Safety should include but are not limited to:
1. Adhere to current CDC and NCHALB guidelines for infection control during:
a. testing,
b. hearing aid fitting, and
c. hearing aid repairs and/or modifications
2. Adhere to proper bracing techniques for right and left ears while using:
a. Otoscope,
b. Tympanometry probe,
c. Otolight/Pen-light while illuminated (or not),
d. Impression instrument (syringe or gun),
e. Probe for real-ear measures,
f. Other instruments not listed above
3. Perform pre- and post-impression otoscopy on all clients/patients
