The mandatory data for an audiogram

Ensuring audiogram completeness.

The audiogram is central to a patient’s hearing assessment and is the audiologist’s primary tool for documenting hearing loss. To assist providers with improving the quality and accuracy of this critical part of the medical record, Amplifon has established guidelines for elements that must be included on audiograms performed by our network providers.

Do your audiograms contain all the following elements?

Required Audiogram Information

Patient Name and date of birth

It is essential that this information is correct and can be easily viewed on the audiogram. Using printed labels for this information is a great idea. Ensuring that the handwriting is legible is vital if the forms are handwritten.

Date testing was performed

The testing date is a required field and must be completed on the audiogram.

Hearing Specialist's Signature

  • The signature must include the credentials and the license number of the clinician providing services.
  • If a student or assistant participated in the evaluation, this must be documented on the report, and all regulations regarding supervision must be followed. 

Make and Model of audiometer

Including information about the audiometer's make and model helps ensure that the testing is done on calibrated equipment.

Most recent calibration date of audiometer

Date is required and it needs to be typed or handwritten legibly.

Reliability Rating

  • Good
  • Fair
  • Poor

Earphone type

  • Insert
  • TDH-39

Testing Method Used

  • Conventional
  • Behavioral
  • Conditioned Play

Interested in more resources?

There are more resources on the documentation of audiology services. The American Academy of Audiology (AAA) has published guidance on patient record content which is an excellent start!

AAA Resources

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