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Community Audiology Center 300999 W. Broadway Vancouver, BC V5Z 1K5 Telephone: 6046591100 REQUEST FOR HEARING SCREENING FAX TO AUDIOLOGY AT 6046591109 Sections A and B must be fully completed before

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What is request for hearing screening?

Request for hearing screening is a form or document submitted to schedule a hearing screening test to evaluate an individual's hearing abilities.

Who is required to file request for hearing screening?

Individuals who suspect they have hearing difficulties or are required to undergo a hearing screening test as part of a medical evaluation are required to file a request for hearing screening.

How to fill out request for hearing screening?

To fill out a request for hearing screening, individuals need to provide their personal information, contact details, reason for seeking a hearing screening, and any relevant medical history.

What is the purpose of request for hearing screening?

The purpose of requesting a hearing screening is to assess an individual's ability to hear and detect any potential hearing loss or impairment.

What information must be reported on request for hearing screening?

Information such as personal details, medical history related to hearing, contact information, reason for seeking screening, and any previous hearing test results must be reported on the request for hearing screening.

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