Get the free Children's audiology service referral form - Guy's and St Thomas'

CHILDREN S AUDIOLOGY SERVICE 020 3049 8560 CHILDREN S AUDIOLOGY REFERRAL FORM Please send this to: Children and Young People s Audiology Center, St Thomas Hospital, South Wing, 2nd Floor, Westminster

How to fill out children39s audiology service referral

How to fill out children's audiology service referral:

1. Start by gathering all the necessary information about the child, such as their name, date of birth, and contact information.
2. Identify the referring health care professional or agency and provide their name, contact information, and any relevant identification numbers.
3. Specify the reason for the referral, whether it is for a routine hearing evaluation, diagnosis of a hearing loss, or any other specific audiology service needed.
4. Include any relevant medical history or information about the child's hearing health, such as previous audiology evaluations or hearing aid use.
5. Indicate any communication concerns or challenges the child may have, such as speech delays or difficulty understanding speech.
6. Provide any additional information or special instructions that may be relevant for the audiology service provider to know before the appointment.
7. Review the referral form for accuracy and completeness before submitting it to the appropriate audiology service provider.

Who needs children's audiology service referral:

1. Children who have failed a routine hearing screening at school or during a well-child visit may need a referral for audiology services.
2. Infants who did not pass the newborn hearing screening or who have risk factors for hearing loss may require a referral for audiology evaluation.
3. Children with suspected or known hearing loss, speech delays, or language difficulties may also need a referral for audiology services to assess their hearing abilities and provide appropriate interventions.
4. Other individuals, such as parents, caregivers, or teachers, who have concerns about a child's hearing abilities may seek a referral for audiology services to address those concerns.

For pdfFiller’s FAQs

What is children39s audiology service referral?

A referral to a specialized audiology service for children.

Who is required to file children39s audiology service referral?

Healthcare providers, caregivers, or parents of children who may benefit from audiology services.

How to fill out children39s audiology service referral?

Fill out the form with the child's information, reason for referral, and any relevant medical history.

What is the purpose of children39s audiology service referral?

To assess and address any hearing or auditory issues in children.

What information must be reported on children39s audiology service referral?

Child's name, age, medical history, reason for referral, and any relevant test results.

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