The following documentation should be provided. The report must be typed, signed by a qualified professional, and submitted on official letterhead. Professionals providing documentation must include information concerning their credentials.
- Documentation should be current (within three years). Date of the most recent assessment must be stated. If the condition involves progressive loss, more frequent updates may be required.
- Provide a current diagnosis of hearing impairment. Include level of severity and date and age of onset of hearing loss.
- Provide pertinent history.
- State what assessment procedures (e.g., audiogram, speech recognition or discrimination evaluations) were used to make diagnosis and include all scores.
- State whether the hearing loss is stable or progressive.
- Explain whether assistive devices such as hearing aids, FM systems, or cochlear implants are used and how effective they are.
- Describe the student’s functional limitations in an educational setting and how the hearing loss may affect class participation.
- Based on the information provided, offer specific suggestions for accommodations and a detailed explanation as to why each accommodation is needed.
- The results of other appropriate assessment measures to support a differential diagnosis or to disentangle the hearing disability from co-existing disorders should be provided.
*Parents are not appropriate evaluators, even if they are otherwise qualified.
*In lieu of the above guidelines, Disability Verification Forms are available in Word or PDF upon request from our office.
All documentation is confidential and should be submitted to: