Hearing Instrument Dispenser Certification

Minnesota Statutes, section 153A.13 requires licensees to notify the Minnesota Department of Health (MDH) within thirty30 days when there is a change of name, employment, or address. A name change request must be submitted with a copy of a marriage certificate or court order.

Submit the HID Change of Information Form (PDF) if your name, employment, address, or email address has change to ensure timely receipt of your renewal notice.