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Department of Health Care Services Systems of Care DivisionBone Anchored Hearing Aid (BAHA) Request Form Applicant Information Child's Name: CCS Number:Date of Birth: Date of Request:Provider Information
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How to fill out bone anchored hearing aid

01
To fill out a bone anchored hearing aid, follow these steps:
02
Start by cleaning the area around the bone anchored hearing aid. Use a mild soap and water solution to gently cleanse the skin.
03
Dry the area thoroughly before proceeding to the next step.
04
Attach the hearing aid to the abutment, which is the part that is implanted into the bone. Make sure it is securely connected.
05
Adjust the volume and settings on the hearing aid according to your preferences and needs.
06
Place the hearing aid over the abutment, ensuring a snug fit.
07
Check if the hearing aid is functioning properly by testing it with different sound sources.
08
If necessary, make further adjustments to the volume or settings to optimize the hearing experience.
09
When not in use, store the bone anchored hearing aid in a clean and dry case to protect it.
10
Follow up regularly with your audiologist or healthcare professional to monitor your progress and address any concerns.

Who needs bone anchored hearing aid?

01
A bone anchored hearing aid is beneficial for individuals who:
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- Have conductive or mixed hearing loss
03
- Experience hearing loss on one side
04
- Have chronic ear infections or other ear conditions that make traditional hearing aids uncomfortable or ineffective
05
- Cannot wear traditional hearing aids due to ear canal malformations or other physical limitations
06
- Are seeking an alternative to traditional hearing aids that offers improved sound quality and comfort
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A bone anchored hearing aid is a type of hearing device that is surgically implanted and transmits sound through vibrations in the skull.
Individuals who have undergone surgery to receive a bone anchored hearing aid are required to file this information with their healthcare provider.
To fill out a bone anchored hearing aid form, patients can consult with their healthcare provider or audiologist for guidance.
The purpose of a bone anchored hearing aid is to help individuals with certain types of hearing loss improve their ability to hear sounds.
Information that must be reported on a bone anchored hearing aid form includes the date of surgery, type of device implanted, and any relevant medical history.
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