OHC Certification and Recertification Course Approval Form

This form is due 30 days in advance of any course.

Instructions: All OHC Certification and Recertification courses must be registered through the CAOHC office. All sections must be completed before the application will be accepted for approval.

Click here for a printable version of this form.

Part 1 - Course Director (CD) Information


Part 2 - Course Information

Step 1 - Type of Course

If this is a combined course please complete dates for certification and recertification course.

Note: If Certification and Recertification course dates are not concurrent, an additional course fee will apply.

Step 2 - Course Location and Registration Information

How should participants register for the course?

 
 
 

*DoD course fees are centrally funded.
**If recertification course is separate from certification course dates a $20 fee applies.

Step 3 - Faculty

Each 20-hour course must include faculty members from at least three different disciplines represented on the Council, and must follow the CAOHC Course Outline for content and time allotments. Supplemental OHC course faculty, other than the Course Director, must be actively engaged in their profession. Supplemental instructors do not have to be certified by their professional organization.

Disciplines, and suitable terminology describing them, are:

  • Audiology (Audiologist, Occupational Audiologist, Military Audiologist, Industrial Audiologist, Certified Audiologist)
  • Occupational health nursing (Occupational Health Nurse, Industrial Nurse, Registered Nurse)
  • Safety (Safety Engineer, Safety Professional)
  • Industrial hygiene (Industrial Hygienist, Certified Industrial Hygienist)
  • Occupational medicine (Occupational Physician, Occupational and Environmental Physician, Physician)
  • Otolaryngology (Otolaryngologist, Otologist, ENT Physician, ENT/Head and Neck Surgeon)
  • Noise control engineering (Noise Control Engineer, Acoustical Engineer). In lieu of one required professional discipline instructor, one CAOHC authorized video/DVD curriculum package may be substituted. Only one video/DVD curriculum substitution is allowed per approved course, and must be indicated below.

Note: If the CD is not an audiologist it is strongly recommended that an audiologist be present for audiometry instruction and the audiometric practicum.

Faculty 1

Course Director (self)


Faculty 2

(e.g. Video, MD, PhD, COHN, etc.)

Faculty 3

(e.g. Video, MD, PhD, COHN, etc.)

Faculty 4

(e.g. Video, MD, PhD, COHN, etc.)

Faculty 5

(e.g. Video, MD, PhD, COHN, etc.)

Additional faculty/and/or instructors:

Step 4 - Course Outline

AUDIOMETRIC PRACTICUM must be a MINIMUM of 150 minutes (2.5 hours) for the 20-hour course and 60 minutes for the 8-hour course.

HEARING PROTECTION PRACTICUM must be a MINIMUM of 60 minutes for the 20-hour course and 30 minutes for the 8-hour course.

COURSE CURRICULUM INSTRUCTION
There are no mandatory times assigned to the instruction of the 11 exam domains. Suggested times are provided and encouraged but individual CDs may adjust the schedule according to their needs.

CERTIFICATION COURSES must include a MINIMUM of 20 hours instruction including all required practicum and examination time.

RECERTIFICATION COURSES must include a MINIMUM of eight(8) hours of instruction including all required practicum and examination time.

Course Directors can distribute instruction and practicum hours however they choose. However, CAOHC, strongly recommends limiting instruction time to 8 hours per day, as it may causes a strain on the attention and comprehension of the students, and strain on the instructors as well.


Part 3 - Attestation

Course Director makes the following representations, warranties and covenants and understands that CAOHC reserves the right to withdraw approval for failure to abide by these requirements:

Check one of the following options:

 

Check one of the following options:

 

Part 4 - Payment

OHC Certification and Recertification course fees are $20.00 per course. Note if you cancel a course the $20.00 fee is non-refundable. DoD courses do not require a course fee.

You may submit your fee using VISA, MasterCard, AMEX or Discover. If you wish to mail in your Course Approval form you can also pay using a check.

The CAOHC administrative office will not accept cash as a form of payment.



This section will calculate the amount due based on the number of courses submitted using the form. If Certification and Recertification course dates are not concurrent, an additional course fee will apply.

(You may begin a request for an additional course on the next page.
Your Part 1 information will be carried over.)