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UNIVERSITY OF NORTH TEXAS SPEECH AND HEARING CENTER Adult Case HistoryAudiology Please fill out this form completely. Use NA for not applicable, CR for cant remember, and DK for don't know. Name Date
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How to fill out adult case historyaudiology

01
Begin by collecting all necessary personal and medical information from the adult patient.
02
Ask the patient about their current and past medical conditions, including any hearing or balance issues they may have experienced.
03
Inquire about the patient's lifestyle and occupation to identify any potential factors that may contribute to their audiology needs.
04
Record the patient's current medications and any previous auditory or vestibular interventions they have undergone.
05
Document the patient's family history of hearing loss or other auditory conditions.
06
Administer appropriate hearing tests and assessments to further evaluate the patient's auditory function.
07
Review the results of the tests and use them to create a comprehensive diagnosis and treatment plan.
08
Provide the patient with a copy of the completed adult case historyaudiology form for their records and future reference.

Who needs adult case historyaudiology?

01
Adults who are experiencing hearing loss, balance issues, or other auditory problems may need to fill out an adult case historyaudiology form.
02
This form helps audiologists gather essential personal and medical information to diagnose and treat the patient effectively.
03
It is also valuable for individuals who have previously undergone auditory or vestibular interventions and need to provide their medical history to a new healthcare provider.
04
Adults with a family history of hearing loss or other auditory conditions should also fill out an adult case historyaudiology form to assess their risk factors.
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Adult case historyaudiology is a detailed record of an adult's medical and hearing history, including any past or current issues related to hearing loss or auditory conditions.
Any adult individual seeking audiology services or treatment is required to file an adult case historyaudiology form.
To fill out an adult case historyaudiology form, the individual must provide accurate and detailed information about their medical history, hearing concerns, and any previous treatments or evaluations.
The purpose of adult case historyaudiology is to help audiologists better understand the patient's hearing health, identify potential issues or risks, and tailor treatment plans accordingly.
Information such as medical history, current symptoms, previous treatments, family history of hearing loss, and exposure to loud noises must be reported on adult case historyaudiology.
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