In 2005, James R. Steiger, PhD, published Audiologic Referral Criteria: Sample Clinic Guidelines. Those guidelines included sample referral guidelines for hearing aid use, for the identification of vestibular schwannomas, and for the identification of middle-ear disorder with wide-width and narrow-width tympanograms. Considering the passage of time since that paper was published, and the absence of a discussion of tinnitus, vestibular disorders, and sudden sensorineural hearing loss in that paper, it seemed prudent to revisit the topic.