Over an 18 month period a native technician in the James Bay area was selected, trained, and supervised in the execution of certain audiological functions including record keeping, basic testing, hearing aid "trouble shooting", taking of impressions for moulds, and follow-up. The evidence indicates that this is an effective program which can supplement the occasional services of otolaryngologists and audiologists in the James Bay area. In particular, language barriers are overcome, there is continuity of care, and there is some indication of cost benefit. Recommendations are made for the continuance and possible expansion of this type of service.