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Carolina Children's Communicative Disorders Program (CCCP)Renewal Former your child to be considered for renewal in the CCCP Grant Program, this form must be completed in full. This confidential information
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Start by gathering all the necessary information and documents related to the pediatric hearing loss program at UNC Children's Chapel.
02
Begin by opening the pediatric hearing loss form or document provided by UNC Children's Chapel.
03
Read and follow the instructions carefully before filling out the form.
04
Enter the child's personal information, such as name, date of birth, and contact details.
05
Provide details about the child's medical history, including any previous diagnoses or treatments related to hearing loss.
06
Answer the questions regarding the child's hearing abilities and any existing hearing aids or devices.
07
If applicable, provide information about the child's primary care physician or audiologist.
08
Review the completed form for accuracy and make any necessary corrections.
09
Save a copy of the filled-out form for your records.
10
Submit the form to the designated contact or department at UNC Children's Chapel as instructed.

Who needs pediatric hearing lossunc childrenschapel?

01
Pediatric hearing loss services at UNC Children's Chapel are intended for children who are experiencing hearing difficulties or have been diagnosed with hearing loss.
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Children who require assessment, treatment, or management of their hearing loss can benefit from the pediatric hearing loss program at UNC Children's Chapel.
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Pediatric hearing loss refers to a partial or total inability to hear in children, which can impact their development and communication skills.
Parents or guardians of children diagnosed with pediatric hearing loss are typically required to file this document.
Fill out the form by providing the child's personal information, details of the hearing loss diagnosis, and any recommended interventions or treatments.
The purpose is to officially document the diagnosis of hearing loss in children to ensure they receive appropriate care and services.
Required information includes the child's name, date of birth, specifics of the hearing loss diagnosis, and contact information for the healthcare provider.
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