Patients with hearing aids should be assessed frequently using otoscopy. Even when presenting for a clinical complaint not associated with hearing or hearing aids, a clinical encounter can be an opportunity to assess for factors that would impact the function of the hearing aids. It is recognized that patients coming into the office for non-hearing related complaints may have recently been assessed and that clinicians may be appropriately care for a patient despite not assessing with otoscopy at every single visit. A three month look back period for additional visits where otoscopy was performed was deemed to be satisfactory.