University of Hawaii Speech and Hearing Clinic Audiology Case History Form (Adults) 2013-2025 free printable template
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Audiology Case History Form (Adults) University of Hawaii Speech & Hearing Clinic 677 Ala Mona Blvd., Suite 625, Honolulu, HI 96813 Phone: (808) 692-1580; Fax: (808) 566-6292 Patient: Today s Date:
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How to fill out University of Hawaii Speech and Hearing Clinic Audiology
01
Visit the University of Hawaii Speech and Hearing Clinic website.
02
Download or request the audiology intake form.
03
Fill out the personal information section accurately.
04
Provide details about your hearing history and any current concerns.
05
Include any relevant medical history or information regarding previous audiological evaluations.
06
Submit the completed form either online or via mail as instructed.
07
Schedule an appointment by contacting the clinic through the provided phone number or email.
08
Prepare for your appointment by gathering any necessary documents and discussing your concerns with family or friends.
Who needs University of Hawaii Speech and Hearing Clinic Audiology?
01
Individuals experiencing hearing loss or difficulties.
02
People with concerns about their auditory processing abilities.
03
Those seeking regular hearing screenings or assessments.
04
Children with suspected speech or hearing impairment.
05
Adults who need rehabilitation for hearing loss after medical treatment.
06
Individuals who want to learn more about hearing aids and auditory technology.
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What is University of Hawaii Speech and Hearing Clinic Audiology?
The University of Hawaii Speech and Hearing Clinic Audiology is a facility associated with the University of Hawaii that provides diagnostic, therapeutic, and educational services related to speech and hearing disorders.
Who is required to file University of Hawaii Speech and Hearing Clinic Audiology?
Individuals seeking assessment, diagnosis, or treatment for speech and hearing disorders, typically including students and the general public, may be required to file for services at the University of Hawaii Speech and Hearing Clinic Audiology.
How to fill out University of Hawaii Speech and Hearing Clinic Audiology?
To fill out the forms for the University of Hawaii Speech and Hearing Clinic Audiology, you need to complete the intake forms provided by the clinic either online or in-person, providing relevant personal information and medical history.
What is the purpose of University of Hawaii Speech and Hearing Clinic Audiology?
The purpose of the University of Hawaii Speech and Hearing Clinic Audiology is to provide comprehensive evaluation and treatment services for individuals with communication disorders and to train future professionals in the audiology and speech-language pathology fields.
What information must be reported on University of Hawaii Speech and Hearing Clinic Audiology?
The information that must be reported includes personal details, medical history, reasons for seeking assistance, and any previous evaluations or treatments related to speech and hearing.
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