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ADULT CASE HISTORY (Please Print) Patient NameTodays DateAgeChief complaint Hearing Loss Right ear Left ear Difficulty hearing in Quiet in Noise Tinnitus/Ringing Telephone Right ear Left ear Dizziness
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What is difficulty hearing in quiet?
Difficulty hearing in quiet refers to the inability to hear or understand sound clearly in a quiet environment.
Who is required to file difficulty hearing in quiet?
Anyone experiencing difficulty hearing in quiet should consider seeking help from a medical professional.
How to fill out difficulty hearing in quiet?
To fill out difficulty hearing in quiet, individuals may need to provide information about their symptoms, medical history, and any prior hearing tests.
What is the purpose of difficulty hearing in quiet?
The purpose of difficulty hearing in quiet is to assess an individual's ability to hear and understand sound in a quiet setting.
What information must be reported on difficulty hearing in quiet?
Information on symptoms, medical history, and hearing test results may need to be reported on difficulty hearing in quiet.
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