Audiologist Template

Annual HT HAC (Annual Hearing Test/Hearing Aid Check)

A professional Audiologist template for healthcare professionals.

Use template Browse templates

Specialty

Audiologist

Used

70 times

Type

Note

Last edited

2025/03/18

Created by

Sarah Fisher

Use template

About this template

The Annual HT HAC (Annual Hearing Test/Hearing Aid Check) template is designed for audiologists to document comprehensive evaluations of patients' hearing health. This template facilitates the recording of medical history updates, hearing test results, and hearing aid checks, ensuring all aspects of the patient's auditory care are addressed. It includes sections for patient education and future recommendations, making it a valuable tool for maintaining continuity of care. Ideal for audiologists, this template streamlines the documentation process, enhancing patient interaction and satisfaction during annual hearing assessments.

Preview template

I had the pleasure of seeing John Smith, age 67 years for an annual HT/HAC. During today's appointment, the pt. reported the following audiological and medical history updates: Review of Medical History: • Changes in Medical History: Recently diagnosed with hypertension. • Hearing Aid Use: Patient reports using hearing aids comfortably for 8 hours a day. Hearing Test: Otoscopy (Bilateral): Clear ear canals. Hearing recheck indicated the following: a moderate loss for the right ear and a mild loss for the left ear. Word recognition scores indicated: 88% for the right and 92% for the left. Hearing Aid Check: Redux completed removing all moisture. Cleaned both HAs, including wax trap and dome replacement. Subsequent listening checks were good. Data shows 8 hr/day use. Electroacoustic analysis and directionality testing completed. Devices meet manufacturer's specifications. REM completed on both devices with good results at all input levels (55/65/75 dB). No other programming changes made during this time. All patient's questions answered satisfactorily. Patient Education: Reviewed technology usage instructions, demonstrated proper cleaning techniques, and provided instructions for auditory training to improve hearing. Recommendations: Patient to return in 6 months for a follow-up hearing aid check and annual hearing test. • Enjoys gardening and has a pet dog named Max. • Patient is likely to give a good review, estimated at 5 stars.