Research indicates an increased enrolment of students in Australian universities who are deaf or hard of hearing. However, research relating to these students' professional practicum experiences in schools as pre-service teachers of secondary education is limited, with no account of a deaf or hard of hearing pre-service teacher in the Health and Physical Education (HPE) learning area. This paper reports on a unique longitudinal case study of a male HPE pre-service teacher (secondary) who is deaf and enrolled in a university teacher education course in Western Australia (WA). It specifically explores the first professional practicum placement of the pre-service teacher. Data presented details the challenges and opportunities, and capacity of the pre-service teacher and teacher education institution to deliver on the Australian Professional Standards for Teachers. The paper presents considerations towards the inclusion of all pre-service teachers with additional needs and provides insights into course requirements previously undocumented in the academic literature.