1. COMMISSION FOR CHILDREN WITH SPECIAL HEALTH CARE NEEDS Your child, ___________________________, has passed the hearing evaluation completed on ________________________. No additional testing is recommended at this time. If you have any concerns in the future about your child’s hearing, please call 502-429-4430 ext. 257 to schedule another hearing test. ________________________ CCSHCN Audiologist

2. COMMISSION FOR CHILDREN WITH SPECIAL HEALTH CARE NEEDS Your child, ___________________________, has passed the hearing evaluation completed on ________________________. No additional testing is recommended at this time. If you have any concerns in the future about your child’s hearing, please call 502-429-4430 ext. 257 to schedule another hearing test. ________________________ CCSHCN Audiologist

3. COMMISSION FOR CHILDREN WITH SPECIAL HEALTH CARE NEEDS Your child, ___________________________, has passed the hearing evaluation completed on ________________________. No additional testing is recommended at this time. If you have any concerns in the future about your child’s hearing, please call 502-429-4430 ext. 257 to schedule another hearing test. ________________________ CCSHCN Audiologist

4. COMMISSION FOR CHILDREN WITH SPECIAL HEALTH CARE NEEDS Your child, ___________________________, has passed the hearing evaluation completed on ________________________. No additional testing is recommended at this time. If you have any concerns in the future about your child’s hearing, please call 502-429-4430 ext. 257 to schedule another hearing test. ________________________ CCSHCN Audiologist

5. COMMISSION FOR CHILDREN WITH SPECIAL HEALTH CARE NEEDS Today’s test results indicate that your child, ____________________________, may have a middle ear infection in their right/left ear(s). Please contact your primary care physician for medical treatment. A follow-up hearing evaluation has been scheduled for __________ at ________. You will receive a reminder call 1-2 business days prior to your appointment. The audiology department can be reached by calling 502- 429-4430 ext. 257. ________________________ CCSHCN Audiologist

6. COMMISSION FOR CHILDREN WITH SPECIAL HEALTH CARE NEEDS Today’s test results indicate that your child, ____________________________, may have a middle ear infection in their right/left ear(s). Please contact your primary care physician for medical treatment. A follow-up hearing evaluation has been scheduled for __________. You will receive a reminder call 1-2 business days prior to your appointment. The audiology department can be reached by calling 502-429- 4430 ext. 257. ________________________ CCSHCN Audiologist

7. COMMISSION FOR CHILDREN WITH SPECIAL HEALTH CARE NEEDS Today’s test results indicate that your child, ____________________________, may have a middle ear infection in their right/left ear(s). Please contact your primary care physician for medical treatment. A follow-up hearing evaluation has been scheduled for __________. You will receive a reminder call 1-2 business days prior to your appointment. The audiology department can be reached by calling 502-429- 4430 ext. 257. ________________________ CCSHCN Audiologist

8. COMMISSION FOR CHILDREN WITH SPECIAL HEALTH CARE NEEDS Today’s test results indicate that your child, ____________________________, may have a middle ear infection in their right/left ear(s). Please contact your primary care physician for medical treatment. A follow-up hearing evaluation has been scheduled for __________. You will receive a reminder call 1-2 business days prior to your appointment. The audiology department can be reached by calling 502-429- 4430 ext. 257. ________________________ CCSHCN Audiologist

9. COMMISSION FOR CHILDREN WITH SPECIAL HEALTH CARE NEEDS The results of your child’s, ___________________, hearing evaluation indicate that additional testing is needed. A follow-up appointment has been scheduled for _______________________. You will receive a reminder call 1-2 business days prior to this appointment. The audiology department can be reached by calling 502-429-4430 ext. 257. ________________________ CCSHCN Audiologist

10. COMMISSION FOR CHILDREN WITH SPECIAL HEALTH CARE NEEDS The results of your child’s, ___________________, hearing evaluation indicate that additional testing is needed. A follow-up appointment has been scheduled for _______________________. You will receive a reminder call 1-2 business days prior to this appointment. The audiology department can be reached by calling 502-429-4430 ext. 257. ________________________ CCSHCN Audiologist

11. COMMISSION FOR CHILDREN WITH SPECIAL HEALTH CARE NEEDS The results of your child’s, ___________________, hearing evaluation indicate that additional testing is needed. A follow-up appointment has been scheduled for _______________________. You will receive a reminder call 1-2 business days prior to this appointment. The audiology department can be reached by calling 502-429-4430 ext. 257. ________________________ CCSHCN Audiologist

12. COMMISSION FOR CHILDREN WITH SPECIAL HEALTH CARE NEEDS The results of your child’s, ___________________, hearing evaluation indicate that additional testing is needed. A follow-up appointment has been scheduled for _______________________. You will receive a reminder call 1-2 business days prior to this appointment. The audiology department can be reached by calling 502-429-4430 ext. 257. ________________________ CCSHCN Audiologist