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SUMMARY OF CLINICAL PRACTICE HOURS AUDIOLOGY Name of Student: ___University:Degree/Program: ___Date of Graduation: ___Assessment & IdentificationActivityIntervention & ManagementSimulated PracticeTotal HoursDistribution
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Obtain a copy of the UNM Speech and Hearing form.
02
Fill out the personal information section with your full name, date of birth, address, phone number, and email address.
03
Provide information about your medical history, including any previous diagnoses or treatments related to speech and hearing disorders.
04
Include any relevant insurance information, such as policy number and primary care physician.
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Sign and date the form to certify that the information provided is accurate.

Who needs unm speech and hearing?

01
Individuals experiencing speech and hearing difficulties who are seeking evaluation and treatment services.
02
People who have been referred by a medical professional or educator for speech and hearing assessments.
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UNM Speech and Hearing is a department at the University of New Mexico that focuses on providing services related to speech and hearing disorders.
UNM Speech and Hearing is typically filed by licensed speech-language pathologists or audiologists who are practicing in the state of New Mexico.
UNM Speech and Hearing can be filled out online through the University of New Mexico's website or submitted via mail with the required documentation.
The purpose of UNM Speech and Hearing is to track and monitor the services provided by speech-language pathologists and audiologists in the state of New Mexico.
Information such as caseload numbers, types of services provided, continuing education, and licensure information must be reported on UNM Speech and Hearing.
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