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Personal Communication Profile Name:___Date: ___Personal Communication Profile for Individuals who are Deaf/Hard of Hearing:What is a Personal Communication Profile? The Personal Communication Profile
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01
Obtain a copy of the impact of hearing loss form
02
Provide personal information such as name, date of birth, and contact information
03
Specify the type and severity of hearing loss
04
Document how the hearing loss affects daily activities and communication
05
Include any medical history or treatments related to the hearing loss
06
Submit the completed form to the appropriate medical provider or organization

Who needs impact of hearing loss?

01
Individuals who have experienced or are currently experiencing hearing loss
02
Medical professionals or caregivers who are assisting individuals with hearing loss
03
Organizations or agencies requiring documentation of the impact of hearing loss for treatment or support services
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Hearing loss can impact an individual's communication, social interactions, and overall quality of life.
Individuals with hearing loss who are seeking accommodations or benefits may be required to file a report on the impact of their hearing loss.
The impact of hearing loss can be filled out by providing information on the individual's hearing abilities, communication challenges, and any accommodations or assistive devices used.
The purpose of the impact of hearing loss report is to provide evidence of how hearing loss affects an individual's daily life and the accommodations needed.
Information such as the type and severity of hearing loss, communication difficulties, and any recommended accommodations should be reported on the impact of hearing loss form.
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