Use this guide if your clinic is currently on CounselEar and is migrating to Suno. This process disconnects CounselEar from Noah and reconnects Noah to Noah ES for use with Suno.
Before you start
Review the Noah ES setup: start here article before proceeding. Confirm you have noted your installed manufacturer modules and that your device meets the readiness requirements.
Important: Do not perform these steps until your scheduled cutover — the Friday before Go Live. Completing them early will break CounselEar's connection to Noah.
What you need to know
CounselEar can be locally hosted or cloud-hosted — your hosting type determines whether a data export is required (see below)
Some setups use a CounselEar Synergy App that must also be uninstalled
Export your Noah data (self-hosted only)
Complete this section only if your CounselEar setup is locally hosted. If you are unsure, confirm with Suno Support before proceeding.
Navigate to Noah Administration.
Open Noah Console.
Navigate to Database Administration.
Select the Backup option under Service.
Click Backup to generate the backup file.
Click Open backup location to locate the file.
Drag and drop the backup file into the Suno shared drive.
Setup steps
Step 1: Open Control Panel
Navigate to Control Panel > Programs > Uninstall a Program.
Step 2: Uninstall CounselEar sync
Locate and uninstall CounselEar Cloud Sync (or the similarly named sync application on your system).
Step 3: Uninstall Noah 4 and modules
Locate and uninstall each of the following:
Noah 4
Audiogram
Noah 4 Journal
Questionnaire
Step 4: Remove Noah configuration files
Clean up leftover Noah configuration files so the reinstall starts completely fresh. Noah Support Reference Article
Navigate to
C:\Program Files (x86)\Common Files\HIMSA Shared. Rename the fileNOAHCfgDatabase.sdftoNOAHCfgDatabase.old, then renameNOAHDatabaseCoreSqlCompact.sdftoNOAHDatabaseCoreSqlCompact.old. Delete everything else in this folder except those two renamed files, theNoahlinkfolder (if present), andnoah4.lf.Navigate to
C:\Program Files (x86)\HIMSA\Noah 4. Delete all contents inside this folder except theBackupfolder.Navigate to
C:\ProgramData\HIMSA. Rename theHIMSAfolder toHIMSAold.
Step 5: Download Noah 4.117
Step 6: Install Noah
Open the downloaded file and follow the on-screen installation prompts to completion.
Step 7: Set Up Noah Configuration Wizard
The Noah Configuration Wizard window opens after Noah installation completes.
Select option 4 for a Noah ES setup.
Then click Next
Then click Finish
Step 8: Sign into Noah ES
Open Noah after installation.
Enter your Noah ES credentials.
When prompted for a server, select
Noah ES US.
Step 9: Verify manufacturer modules
Confirm your manufacturer modules are present. Reinstall any that are missing. Download links are available at HIMSA – Noah modules.
Still need help?
If you're still unable to resolve the issue, contact Suno Support with your clinic name and the step where you got stuck and we'll be happy to help.

