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Northwest Florida ENT Fax: 561-737-8001 www.audiology.pro ...

west Main Rd., 201 - Boynton Beach, FL 33426 Northwest Florida ENT561-737-8000 Fax: 561-737-8001 audiology REPORTH istory:Newborn Screen Results:History of Ear Pathology:Family History of HL:High Risk Factors for HL:PE Tubes:Other:ResultsPure tone Audiometry: Measures the ability to hear sounds of different frequencies (pitches)Hearing is within normal limits:Hearing is borderline normal:Hearing loss was noted:Notes:Otoscopy suggests:Tympanometry suggests:Eardrums visibleNormal middle ear functionTubes visibleNon-mobile eardrumWax build-upHyper-mobile eardrumBlocked canalNegative middle ear pressureRed eardrumMinimal eardrum mobilityPossible perforationOpen PE tubes/ these results with your physician to determine the need for medical period of appropriate amplification, please contact my office if family/school wants to pursue this the use of the FM signs of an ear infection develop, please contact your of hearing protection (plugs/muffs) when exposed to :If you have any questions concerning these results, please contact the following Educational Audiologist:_____ Ed Van Der Heiden, MS, CCC/A, FAAA_____Sharyce Baa

www.audiology.pro eardoc@audiology.pro 1800 West Main Rd., 201 - Boynton Beach, FL 33426 Northwest Florida ENT 561-737-8000 Fax: 561-737-8001 AUDIOLOGY REPORT

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