Section 7 Communication assessment and clinical rationale Please provide a detailed description of the specific environments where the client has functional communication requirements. For each environment, please include the following (please attach an additional page if required): The motivation to improve communication client’s The presence/absence of background noise and the type of background noise The presence/absence of reverberation The number of noise sources and whether noise sources are moving or stationary The proportion of time the client is in that communication environment The degree and nature of difficulty in the communication environment Communication goals Please provide specific functional communication goals
Section 7 Communication assessment and clinical rationale Please provide a detailed description of the specific environments where the client has functional communication requirements. For each environment, please include the following (please attach an additional page if required): The client’s motivation to improve communication The presence/absence of background noise and the type of background noise The presence/absence of reverberation The number of noise sources and whether noise sources are moving or stationary The proportion of time the client is in that communication environment The degree and nature of difficulty in the communication environment Communication goals Please provide specific functional communication goals
Hearing-assessment-and-device-exception-request-form-FINAL.docx