52 / 190
1342.12 Companion
July 12, 2017
Page 52
Hearing Impairment Eligibility Guide
"Hearing impairment" means impairment in hearing, whether permanent or fluctuating, that adversely
affects a student’s educational performance, but is not included under the definition of deafness.
Required Assessments
Observation; review of existing school educational and health records; recent audiology report; Hearing
– Functional Assessment; and formal and/or informal measures of academic achievement supported by
teacher reports, group achievement test scores, report cards, etc., formal or informal language
assessment; educational impact analysis.
The CSC must gather the necessary information to meet the eligibility criteria.
Recommended Assessments to assist the CSC to meet eligibility criteria
After review of all records, the CSC determines if there is a need to obtain additional assessments (e.g.
medical, developmental history, cognitive).
Criteria
There is documentation of a Hearing Impairment. Characteristics include (check all that apply):
☐
unilateral hearing loss (conductive, sensorineural, or mixed), or
☐
bilateral hearing loss (conductive, sensorineural, or mixed), or
☐
a fluctuating or permanent hearing loss, and/or
☐
auditory dyssynchrony (auditory neuropathy)
☐
other:__________________________________________________________
AND
There is documentation of an adverse effect on educational performance due to the Hearing
Impairment.
AND
Due to the identified Hearing Impairment, the student is educationally impacted and requires
specially designed instruction. The CSC will list and/or describe.