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Medical Treatment Month Year Doctor/Clinic name 10. Do you have a health problem for which you must take medication on a regular basis If yes what is the health problem and what kind of medication are you taking medications F262-016-000 occupational hearing loss questionnaire 7-02 12.

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A screening failure was defined by the guidelines as the inability to detect 1 or more frequencies at 20-dB HL in either ear. The guidelines recommended tympanometry on any child who failed a screening, with appropriate follow-up recommendations based on the tympanometry results.

mild (21–40 dB) moderate (41–70 dB) severe (71–95 dB) profound (95 dB).

The four types of hearing loss are sensorineural, conductive, mixed (sensorineural and conductive) and auditory neuropathy spectrum disorder (ANSD).

What does “hearing loss” or “hearing impairment” mean? Mild hearing loss: Hearing loss of 20 to 40 decibels. Moderate hearing loss: Hearing loss of 41 to 60 decibels. Severe hearing loss: Hearing loss of 61 to 80 decibels. Profound hearing loss or deafness: Hearing loss of more than 81 decibels.

A person will be considered disabled if their average threshold for air conduction hearing is at least 90 decibels and their average threshold for bone conduction hearing is at least 60 decibels, or if they score 40 percent or less on a word recognition test.

We've put our heads together to create this accessible guide on the subject so you have the information you need. Stage 1: Mild hearing loss. Stage 2: Moderate hearing loss. Stage 3: Moderately severe hearing loss. Stage 4: Severe hearing loss. Stage 5: Profound hearing loss. Treating hearing loss.

Functional hearing loss or psychogenic hearing loss is used to describe any hearing loss that cannot be explained by an organic cause. Psychogenic hearing loss is classified as part of a conversion disorder in the field of psychiatry.

Hearing Loss Ranges (in decibels) Some forms of hearing loss can be treated with a hearing aid. If your hearing falls into the 26-70 dB range (mild to moderate), a hearing aid can be very effective in restoring sounds for your daily life.

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© Copyright 1997-2025
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232