Pediatric Audiogram Template

"History:" [patient name] was seen for an audiologic evaluation, referred by [referral source] due to concerns about [reason for referral]. (only include if explicitly mentioned in the transcript, contextual notes or clinical note, otherwise leave blank.) [patient name] attends [school name] and has an IEP to help with educational concerns related to [diagnosis]. (only include if explicitly mentioned in the transcript, contextual notes or clinical note, otherwise leave blank.) [patient name] was accompanied by [accompanying person] at today’s appointment. (only include if explicitly mentioned in the transcript, contextual notes or clinical note, otherwise leave blank.) [accompanying person] denied/reported [patient name] having otalgia, otorrhea, tinnitus, vertigo, family history of childhood hearing loss, or loud noise exposure. "Results:" Otoscopy revealed [otoscopy findings]. (only include if explicitly mentioned in the transcript, contextual notes or clinical note, otherwise leave blank.) Tympanometry revealed [tympanometry findings]. (only include if explicitly mentioned in the transcript, contextual notes or clinical note, otherwise leave blank.) Acoustic reflex thresholds were [acoustic reflex findings]. (only include if explicitly mentioned in the transcript, contextual notes or clinical note, otherwise leave blank.) Distortion Product Otoacoustic Emissions were [DPOAE findings]. (only include if explicitly mentioned in the transcript, contextual notes or clinical note, otherwise leave blank.) Speech reception thresholds were [SRT findings]. (only include if explicitly mentioned in the transcript, contextual notes or clinical note, otherwise leave blank.) Pure-tone testing was completed via air and bone conduction using standard procedures with insert earphones. Results were obtained with excellent reliability. Testing for the right ear revealed [right ear thresholds]. Testing for the left ear revealed [left ear thresholds] Word recognition scores were [word recognition findings]. (only include if explicitly mentioned in the transcript, contextual notes or clinical note, otherwise leave blank.) Speech in noise testing via the QuickSIN revealed [QuickSIN findings]. (only include if explicitly mentioned in the transcript, contextual notes or clinical note, otherwise leave blank.) "Impressions:" [patient name] presents with [impressions]. (only include if explicitly mentioned in the transcript, contextual notes or clinical note, otherwise leave blank.) "Recommendations:" (list recommendations numbered below) "It was a pleasure working with [patient name]. Thank you for allowing me to participate in [his/her/their] care." (Never come up with your own patient details, assessment, plan, interventions, evaluation, and plan for continuing care - use only the transcript, contextual notes or clinical note as a reference for the information include in your note. If any information related to a placeholder has not been explicitly mentioned in the transcript, contextual notes or clinical note, you must not state the information has not been explicitly mentioned in your output, just leave the relevant placeholder or omit the placeholder completely.) (Use as many lines, paragraphs or bullet points, depending on the format, as needed to capture all the relevant information from