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Paediatric Audiology Referral Form

Paediatric Audiology Referral Form 2025

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The document is a Pediatric Audiology Referral form used to collect personal and health information for children requiring hearing tests. It includes sections for the child's details, reasons for referral, previous hearing screenings, and involvement of other health services. The form emphasizes the collection and use of personal health information in accordance with the Health Information Act.

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What is the youngest age at which an audiologist can test a childs hearing status?

By 1 month of age | Obtain hearing screen no later than 1 month of age if no hearing screening has been done. By 3 months of age | Refer immediately to pediatric audiologist if child did not pass hearing screening and audiologic evaluation1 has not been completed.

How do I refer my child for a hearing test?

A GP can refer you or your child to a hearing specialist (audiologist) who can do the test. Children may also have a hearing test as part of their health and development reviews. Some children may have a hearing test when they start primary school, depending on where they live.

When should a child see an audiologist?

You should take your child to see a pediatric audiologist if they: Fail their newborn hearing test. Stayed in the Neonatal Intensive Care Unit (NICU) for more than 5 days after birth. Have speech or language delays.

What is the age range for audiometry?

Visual reinforcement audiometry (VRA) is a test that allows an audiologist to assess hearing in infants and toddlers too young for normal tests. VRA relies on behavioral conditioning to train very young kids to respond to sounds. It is designed for children aged 6 months to around 2 to 3 years old.

What are the red flags for audiology referrals?

AAO-HNS Red Flags Search for pain, discomfort, pressure, fullness, otalgia, drain/drainage, blood, bleeding, pus, or otorrhea. Sudden onset or rapidly progressive hearing loss. Search for sudden, rapid, or acute. Acute, chronic, or recurrent episodes of dizziness.

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What age is pediatric audiology for?

The Paediatric Audiology service only assess children aged 7 months- 18 years.

At what age do children have hearing tests?

Visual reinforcement audiometry (VRA) is usually used to test hearing in children from approximately seven months of age up to two-and-a-half years old. During the test, your child will sit on your lap or a chair while sounds are presented.

What is the criteria for referral in audiology?

A lesser conductive hearing loss in the presence of bilateral middle ear effusion may be referred at the discretion of the audiologist. Conductive hearing loss, defined as 20dB or greater average air-bone gap over three of the following frequencies: 500, 1000, 2000, 3000 or 4000 Hz.

Paediatric Audiology Referral Form 2025

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Got questions?

What is the youngest age at which an audiologist can test a childs hearing status?

How do I refer my child for a hearing test?

When should a child see an audiologist?

What is the age range for audiometry?

What are the red flags for audiology referrals?

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What age is pediatric audiology for?

At what age do children have hearing tests?

What is the criteria for referral in audiology?

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