Dear Ms. Knachel and Members of the Virginia Board of Audiology and Speech Language Pathology,

As a licensed and certified audiologist in the state of Virginia, I find the emergency regulations for cerumen management too limiting and restrictive.  I am currently employed at Western State Hospital, a Virginia state hospital for consumers with mental illness.  The majority of the individuals that I test at this facility are indigent.  The proposed limitations/contraindications would prohibit me from working with the majority of individuals within this hospital.  It would also place an undue burden on these consumers to try to obtain safe and qualified hearing care services, especially cerumen management, in a timely manner, if at all.  For the sake of the consumers across Virginia, please reconsider the limitations and restrictive language in this emergency regulation on cerumen management by audiologists.

Sincerely,

Daina A. Sisk, M.Ed. CCC-A