Home
Forms Library
Audiology report example

Audiological evaluation report example 2025

audiology report example Preview on Page 1

Show details

4 out of 5

46 votes

The document is an audiology evaluation report for patient Robert L. Smith, born on March 2, 1943. It includes detailed audiometric test results, including air and bone conduction thresholds across various frequencies, speech audiometry scores, tympanogram data, and acoustic reflex testing. The evaluation was conducted by licensed audiologists Sharyce Baartman and Ed Van Der Heiden. The report indicates the reliability of the tests and outlines the next steps for sharing the results with relevant parties.

Here's how it works

01. Edit your audiology report example online

Type text, add images, blackout confidential details, add comments, highlights and more.

02. Sign it in a few clicks

Draw your signature, type it, upload its image, or use your mobile device as a signature pad.

03. Share your form with others

Send audiological evaluation report via email, link, or fax. You can also download it, export it or print it out.

How to rapidly redact Audiological evaluation report example online

Ease of Setup

DocHub User Ratings on G2

Ease of Use

DocHub User Ratings on G2

Dochub is the greatest editor for changing your documents online. Follow this straightforward guideline edit Audiological evaluation report example in PDF format online for free:

Sign up and sign in. Create a free account, set a secure password, and proceed with email verification to start managing your templates.
Add a document. Click on New Document and select the form importing option: add Audiological evaluation report example from your device, the cloud, or a protected link.
Make adjustments to the template. Take advantage of the top and left panel tools to change Audiological evaluation report example. Insert and customize text, pictures, and fillable areas, whiteout unnecessary details, highlight the important ones, and comment on your updates.
Get your paperwork completed. Send the form to other parties via email, create a link for quicker document sharing, export the template to the cloud, or save it on your device in the current version or with Audit Trail added.

Explore all the advantages of our editor right now!

See more audiological evaluation report example versions

We've got more versions of the audiological evaluation report example form. Select the right audiological evaluation report example version from the list and start editing it straight away!

Versions	Form popularity	Fillable & printable
2012	4 Satisfied (46 Votes)

be ready to get more

Complete this form in 5 minutes or less

Get form

Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

What is included in an audiological evaluation?

An audiologist can test your hearing and help you find ways to improve your hearing. On your first visit, the audiologist will take your case history. This includes talking about your medical history and the hearing problems you have. Next, the audiologist will look into your ears using a light, called an otoscope.

What do audiology results mean?

Numerically higher points on the Y-axis mean sounds need to be louder for you to hear them. In other words, the lower a marker is along the Y-axis of an audiogram, the worse your hearing ability is. Meanwhile, higher markers along the Y-axis indicate you can hear softer sounds and have healthier hearing capabilities.

What is included in an audiological exam?

You wear headphones or insert earphones. Your audiologist uses a machine called an audiometer, which delivers sounds at different frequencies (pitches) and loudness. You raise a hand, press a button or say yes when you hear sounds. Your audiologist records your responses on an audiogram.

What is an audiology report?

These reports can: Identify the type and degree of hearing loss: By pinpointing whether the hearing loss is sensorineural, conductive, or mixed, audiologists can determine the most appropriate treatment. Audiology reports inform treatment plans.

What is an audiological report?

The purpose of an Audiology Report is to help parents, interventionists, and physicians understand an individuals hearing status. Sometimes it is difficult for an audiologist to write a report that is meaningful and useful to all three audiences, which can make the report difficult to understand as a parent.

Related forms

be ready to get more

Complete this form in 5 minutes or less

Get form

How long does an audiology assessment take?

The whole process should take about 30 minutes, and its painless. Most adults who get hearing tests are asked to wear earphones and listen to short tones that are played at different volumes and pitches into one ear at a time.

What is the normal range of audiological evaluation?

A typical audiogram measures thresholds at frequencies within a range slightly broader than that of human speech, including 250, 500, 1000, 2000, 3000, 4000, 6000, and 8000 Hz. The primary speech frequencies fall between 500 and 4000 Hz, although normal human hearing ranges from ~20 Hz to ~20,000 Hz.

How to write a hearing screening report?

Document each frequency screened in a manner that indicates the decibel it was screened at and whether the result was a PASS or REFER. Use consistent notations with a key indicating which symbols or words denote PASS and REFER so that results are clear to caregivers/guardians and providers.

Audiological evaluation report example 2025

Here's how it works

How to rapidly redact Audiological evaluation report example online

See more audiological evaluation report example versions

Complete this form in 5 minutes or less

Got questions?

What is included in an audiological evaluation?

What do audiology results mean?

What is included in an audiological exam?

What is an audiology report?

What is an audiological report?

Complete this form in 5 minutes or less

People also ask

How long does an audiology assessment take?

What is the normal range of audiological evaluation?

How to write a hearing screening report?

audiological evaluation report example

Try more PDF tools