Referral Process for Auditory Processing Evaluation

Please follow the outlined procedures accordingly. Teams MUST include their school SLPs and/or the District audiologist during the referral process.

PLEASE COMPLETE THIS PACKET along with the signed Consent to Test. Send both to Elena Stamm, BSD Audiologist at Amity Elementary.

• • Pre-referral Requirements:

  • Peripheral hearing. Students must pass a school hearing screening. Screening should be conducted at 500, 1000, 2000, and 4000 Hz at 20 dB HL for each ear.

  • Age of child. Students must be at least age 8 to complete a diagnostic auditory processing evaluation.

  • Cognitive ability. Research shows that listening ability is greatly affected by cognitive ability. Testing is considered invalid for individuals with a cognitive ability of 85 or lower.

  • Linguistic ability. Students must be native English speakers and demonstrate age-appropriate language abilities.

  • Speech ability. Students must have intelligible speech without articulation error(s) or distortion.

  • Multidisciplinary assessment. Consideration should be given to all factors that may affect the student’s performance in order to view strengths and weaknesses in a holistic manner. If assessments of other area(s) are being considered, please complete the assessment(s) and provide a brief statement of outcome(s).

To refer a student for testing, obtain SIGNED parent consent using the appropriate form. For students on an IEP, or being considered for an IEP, please use the consent for evaluation in EdPlan; please indicate in the Other section: "Hearing & Auditory Processing." For students on a 504, please generate a permission form in Infinite Campus under the PLP section. For all other students, please Generate A Permission Slip by entering student data clicking submit, and retrieving the permission slip from your email. Once the permission slip is signed, send the SIGNED consent (ALL PAGES) WITH the Referral Packet to the audiologist at Amity Elementary. Parents will be emailed or called to schedule an appointment. Results will be discussed with the parent(s) at the evaluation and a report will be sent to the parent(s); school teams will receive a copy of the report. The audiologist will submit the original report to the DSC. For students on educational plans, e.g. IEPs or 504s, those teams will need to ensure results are reviewed, and a Written Notice is sent to parents.