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Ing. 1 Review your DD2216 form, and find the results shown under your Left and Right ears in Section 15. These numbers represent each sound (in dB) you heard between 500-6000 frequencies. 2 Take the audiogram and plot your left ear s results into the chart using an . Begin with the Reference Audiogram Date results (Section 15c), and draw a line through the s. For example, in the Sample DD2216 shown above, 10 dB is plotted under 500 Hz, 5 dB is plotted under 1000, etc. 3 Repeat this st.

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Filling out the Dd2216e form online can be straightforward with the right guidance. This guide will walk you through each step to ensure your information is accurately entered and submitted.

Follow the steps to complete the Dd2216e form efficiently.

  1. Press the ‘Get Form’ button to access the Dd2216e form and open it in your preferred editing tool.
  2. Review the form thoroughly, focusing on Section 15 to find the hearing test results for the left and right ears. Pay attention to the dB values listed, as they indicate the sound levels you were able to hear across various frequencies.
  3. Using the audiogram provided, start plotting your left ear’s results from the Reference Audiogram Date found in Section 15c. Mark the values on the audiogram appropriately, starting by placing a dot for each frequency according to the dB results you obtained.
  4. Repeat the previous step for the Current Audiogram Date results from Section 15b, ensuring you accurately represent the auditory thresholds on the same audiogram.
  5. Compare the plotted results from both dates to check for any variations in hearing thresholds, allowing you to understand any changes in your hearing ability over time.
  6. Now, repeat steps 3 and 4 for the right ear’s results, ensuring that each dB value is accurately marked on the respective sections of the audiogram.
  7. Once you have plotted both ears’ results, review the complete audiogram. This will assist you in visualizing your hearing capabilities and identifying any areas of concern.
  8. Finally, save the changes you have made to the Dd2216e form. You can also choose to download, print, or share it as needed for your records.

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The prevalence of hearing loss increased with age at all frequencies for both men and women. Among participants aged 60 – 69, 42.7% had a hearing loss at 3000 Hz, 54.3% at 4000 Hz and 79.5% at 6000 Hz. Among the participants 70 years or older, the figures were 70.7% at 3000 Hz, 78.4% at 4000 Hz and 93.2% at 6000 Hz.

An adult is classified as having normal hearing ability if their responses indicate they heard noises between 0 and 25 dB across the frequency range. A child is considered to have hearing ability within normal limits if their responses are between 0 to 15 dB across the frequency range.

DD Form 2216. Non-hearing conservation test. Diagnostic evaluations.

The ability to hear a tuning fork through air and bone is normal. In detailed audiometry, hearing is normal if you can hear tones from 250 to 8,000 Hz at 25 dB or lower.

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.

The normal region on the audiogram is from 0 to 20dB HL for adults and from 0 to 15dB HL for children. Mild hearing loss is 20 to 40dB HL, moderate loss is 40 to 55dB HL, moderately severe loss is 55 to 70dB HL, severe loss is 70 to 90dB HL, and profound loss is above 90dB HL.

The results of the hearing test are an indication for the degrees of hearing loss: Normal hearing: -10 to 20 dB. Mild hearing loss: 20 to 40 dB higher than normal. Moderate hearing loss: 40 to 70 dB higher than normal. Severe hearing loss: 70 to 90 dB higher than normal.

The results of the hearing test are an indication for the degrees of hearing loss: Normal hearing: -10 to 20 dB. Mild hearing loss: 20 to 40 dB higher than normal. Moderate hearing loss: 40 to 70 dB higher than normal. Severe hearing loss: 70 to 90 dB higher than normal. Profound loss: 90 dB or more.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
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
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
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 WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
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