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June 2003BILLINGS PUBLIC SCHOOLS
Evaluation FormAUDIOLOGIST
CONFERENCE DATEOverall Evaluation
(indicate one):SCHOOL
OBSERVATION DATE(S)SATISFACTORYUNSATISFACTORY
SELECT
SATISFACTORY OR
UNSATISFACTORY.
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03
Write your personal information, such as your name, date of birth, and contact details, in the designated fields.
04
Answer the questions on the evaluation form honestly and to the best of your knowledge. These questions may ask about your hearing history, any symptoms you are experiencing, and any previous audiologist evaluations or treatments.
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Who needs evaluation-audiologist 1?
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Evaluation-audiologist 1 is needed by individuals who require a comprehensive evaluation of their hearing abilities and related auditory functions. This evaluation is typically performed by an audiologist and is beneficial for anyone experiencing hearing loss, balance issues, tinnitus, or other ear-related symptoms. It helps in diagnosing the underlying cause of these symptoms and determining appropriate treatment options. Additionally, evaluation-audiologist 1 may be required for occupational purposes, such as hearing assessments for job requirements or legal requirements related to hearing impairment.
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