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Audiology Services Referral Request Form Scheduling Line: 714.639.4990 (Pediatric) Scheduling Line: 714.639.4991 (Adults)Fax: 714.744.3841Thank you for referring your patient to Providences Speech
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How to fill out audiology services - childrens

01
Contact a reputable audiology services provider specializing in children's services.
02
Schedule an appointment for your child to have a hearing assessment done.
03
Fill out any required forms and provide necessary information about your child's medical history and any concerns you may have.
04
Attend the appointment with your child and participate in the assessment process.
05
Follow any recommendations or treatment plans provided by the audiologist to address any hearing issues identified.

Who needs audiology services - childrens?

01
Children who have difficulty hearing or communicating effectively.
02
Children who have been identified as having hearing loss or other auditory issues.
03
Children who are at risk for hearing problems due to certain medical conditions or exposure to loud noises.
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Audiology services for children involve the assessment and treatment of hearing and balance disorders in pediatric patients.
Healthcare providers who offer audiology services for children are required to file.
To fill out audiology services for children, providers need to document the assessment, treatment, and follow-up care provided to pediatric patients.
The purpose of audiology services for children is to diagnose and address hearing and balance issues in pediatric patients in order to improve their overall quality of life.
Information such as patient demographics, assessment results, treatment provided, and follow-up care must be reported on audiology services for children.
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