WA Seattle Children’s Hospital Aural Habilitation Program Intake Questionnaire 2018-2025 free printable template
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Aural Rehabilitation Program
Intake Questionnaire
Dear Parent or Guardian,
Please save this questionnaire to your personal hard drive. When you have completed the questionnaire, fax it to
2069871004
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How to fill out parents preferences for services
How to fill out WA Seattle Children’s Hospital Aural Habilitation Program
01
Visit the Seattle Children's Hospital website and navigate to the Aural Habilitation Program section.
02
Review the eligibility criteria to ensure the child qualifies for the program.
03
Gather the necessary documentation, including the child's medical history and any previous audiology reports.
04
Complete the application form provided on the website, ensuring all necessary information is included.
05
Submit the application form along with the required documentation, either online or via mail, as specified.
06
Await confirmation from the hospital regarding the application status and any follow-up steps.
Who needs WA Seattle Children’s Hospital Aural Habilitation Program?
01
Children diagnosed with hearing loss or auditory processing disorders.
02
Families seeking support and resources for their child's communication development.
03
Children who require specialized auditory therapy and habilitation services.
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What is WA Seattle Children’s Hospital Aural Habilitation Program?
The WA Seattle Children’s Hospital Aural Habilitation Program is a specialized program designed to support children with hearing loss by providing them with the necessary resources and services to enhance their auditory skills and communication abilities.
Who is required to file WA Seattle Children’s Hospital Aural Habilitation Program?
Parents or guardians of children diagnosed with hearing loss are typically required to file for the WA Seattle Children’s Hospital Aural Habilitation Program to access the services offered.
How to fill out WA Seattle Children’s Hospital Aural Habilitation Program?
Filling out the WA Seattle Children’s Hospital Aural Habilitation Program involves completing an application form provided by the hospital, which may include providing personal information, details about the child's hearing loss, and any prior interventions.
What is the purpose of WA Seattle Children’s Hospital Aural Habilitation Program?
The purpose of the WA Seattle Children’s Hospital Aural Habilitation Program is to facilitate improved communication skills and social integration for children with hearing impairments through tailored interventions and family support.
What information must be reported on WA Seattle Children’s Hospital Aural Habilitation Program?
Required information typically includes the child's medical history, specifics about their hearing loss, details of any hearing aids or devices used, and prior therapeutic interventions, along with family contact information.
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