Hearing concern

Template

Tap a choice or type a Repertoire Line to see how the note changes. Defaults are what the template inserts on its own.

Try a Repertoire Line

Practice wording only: leave out patient details. Nothing typed here is saved or sent.

LateralityChoose oneFirst line

Reason for visitChoose one

Screening todayChoose one

Ear examChoose one

PlanChoose one

HistoryChoose any

Additional referralsChoose any

Follow-upChoose one

Follow-up reasonChoose anyJoins the line above

Counseling paragraphChoose oneParagraph

Note when inserted as is

Hearing concern
• Caregiver concern about hearing
• Ear canals clear and tympanic membranes normal
• Referred to audiology for a comprehensive hearing evaluation
• Follow up after the audiology evaluation

Even a mild or one-sided hearing difference can affect speech, learning, and behavior, so a full hearing test by audiology is the next step even if the child seems to hear well at times. Office screening can miss some hearing differences, and continued concerns are always worth checking again. Caregiver expressed understanding and agreement with plan. Answered all questions.

What the sources cover

Laterality by ear
Caregiver concern (prompt objective screening)
Office screen, school screen, language delay, new risk factor (meningitis, head trauma, ototoxic drugs)
Audiometry, OAE, passed, unable
Cerumen removed before testing; effusion; flat tympanogram
Audiology referral
One repeat screen before referral when no risk or concern
Recheck after OME clears; ENT for fluid lasting 3 months
ABR with sedation when behavioral testing is not possible
Early intervention; speech and language evaluation

Sources

AAP Clinical Report, Hearing Assessment in Infants, Children, and Adolescents: Recommendations Beyond Neonatal Screening. Bower C, Reilly BK, Richerson J, Hecht JL;…

Few formal guidelines cover this topic, so the template also leans on expert opinion.