Get Apd Case History Questions Form

Filling out the Apd Case History Questions Form online is an essential step in preparing for your auditory processing evaluation. This guide provides clear and supportive instructions to ensure that you complete the form accurately and efficiently.

Follow the steps to complete the form with ease.

1. Press the ‘Get Form’ button to access the Apd Case History Questions Form and open it in your preferred online editor.
2. Begin by filling in your personal information in the ‘Patient information’ section. Enter your name, address, and preferred contact number, including home, work, and other phone numbers.
3. Next, provide your date of birth, sex, and age. This information helps the medical team understand your demographic profile.
4. In the ‘Referral information’ section, specify who referred you for testing. Include their contact information as you did in the previous section for consistency.
5. Carefully answer the questions in the ‘Medical History’ section. Indicate whether you have any current medical conditions, take medications regularly, have a history of surgeries, or have experienced any significant health issues.
6. Proceed to the ‘Hearing and Ear History’ section. Answer questions regarding your hearing problems, ear pain, dizziness, or noise exposure. Be as detailed as possible to assist with your evaluation.
7. For the ‘Birth History’ section, provide information about any complications during birth and any significant details related to your birth.
8. Complete the ‘Academic History’ section by noting if you received special services or therapy in school, along with information about any learning disabilities.
9. In the ‘Communication’ section, indicate your preferred writing hand, languages spoken, and any challenges you experience in communication, both at work and socially.
10. Lastly, address any additional information you feel is important in the open-ended section at the end of the form.
11. Once all sections are completed, ensure that you save your changes, and then choose to download, print, or share the filled-out form as needed.

Complete your Apd Case History Questions Form online to ensure a smooth appointment.