Welch Allyn OAE Hearing Screener Directions for Use 705353 Rev E
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PEDIATRIC HEARING SCREENING RESULTS
Date of Exam:________________________
Patient’s Name:________________________
Date of Birth:________________________
This patient's hearing was screened using otoacoustic emissions. The
patient
referred
on the hearing screening in one or both ears. The purpose of
this screening is to detect any hearing loss that could be detrimental to normal
speech and language development.
The hearing screening result does not mean that the patient definitely has
a hearing loss; however, it does mean that the patient needs further audiological
evaluation to either rule out or confirm a hearing loss. Further evaluation by an
audiologist experienced with pediatric assessment is recommended. Early
detection of hearing loss is critical for language development and/or school
success. If you have additional questions, do not hesitate to contact us.
An appointment has been made for further evaluation.
Date:_____________________________Time:_____________________
If you have any questions, do not hesitate to contact us.
Insert OAE Screener Sticker Here
Summary of Contents for REF 29400
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