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This form collects vital information regarding a child\'s hearing concerns and medical background to assist in the evaluation process at the JMU Audiology Clinic.
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How to fill out pediatric audiologic case history

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How to fill out pediatric audiologic case history

01
Begin with basic patient information: Record the child's name, date of birth, and parent/guardian contact details.
02
Document the reason for the visit: Note if the child has been referred for a specific concern or routine screening.
03
Include medical history: Ask about any previous medical conditions, surgeries, or hospitalizations relevant to hearing.
04
Gather family history: Inquire if there is a history of hearing loss or other auditory issues in the family.
05
Ask about developmental milestones: Record when the child achieved key milestones such as babbling, responding to names, or first words.
06
Include information about communication abilities: Note how the child communicates and any concerns about speech or language development.
07
Assess environmental factors: Inquire about exposure to loud noises, ear infections, or other potential risk factors in the child's environment.
08
Conclude with a summary: Review the information and ensure that it is complete and accurate for the audiologist's assessment.

Who needs pediatric audiologic case history?

01
Pediatric audiologic case history is needed for children who are experiencing hearing difficulties.
02
It is also necessary for routine hearing screenings in children at risk of hearing loss.
03
Parents or guardians of children with developmental delays may require a case history to identify auditory needs.
04
Any child being evaluated for speech or language delays should have a comprehensive audiologic case history.
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Pediatric audiologic case history is a comprehensive record of a child's auditory health and developmental milestones, detailing their hearing ability, any past medical conditions, family history of hearing issues, and other relevant factors affecting their hearing.
Parents, guardians, or caretakers of the child are typically required to fill out the pediatric audiologic case history as part of the evaluation process by audiologists or hearing specialists.
To fill out the pediatric audiologic case history, provide accurate and detailed information about the child's medical history, any previous hearing tests, behavioral observations, developmental milestones, and any relevant family hearing history.
The purpose of pediatric audiologic case history is to gather vital information that helps audiologists assess the child's hearing health, identify potential hearing issues, and plan appropriate interventions or treatments.
Important information that must be reported includes the child's birth history, medical and surgical history, ear infections, speech and language development, family history of hearing loss, and any concerns observed by the parents or caretakers.
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