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HomeMy WebLinkAboutCOM 0290.001 2000-2002 FROM Marlin Spike Werner, Ph.D. PHONE N0. B08 964 5678 dug. 02 2001 12:19AM P1 "T'lte laeest ANSI standard xs ANSI 53.6-1996. ANSI standards are capdared, reafl"irmed, ax discasrdee3 evEry six years. ANSI Web site - www~, phone: 212-642-4900. Part lI a. STET. b. Hearing loss (ptare tone average) ve~tl~out hearing aid(s) (S40 _ 2000 Iitxtx): Right d13 L~ d13, (ANSI 1996) e. This question was diffteult fox sae to comprehend. I would suggest thac you tzaaslffy else question Is the app€icatAt's average 4aearing loss iu the speech freclueraciss (500 - 2000 I~z) of ~e better ~r 92 d~ (ANSI 1996) Or rarorse7 Yes, No a_ s~T r Comm. No. / / _ e No. def. '~c Ref. Da,t~`~~ ~ b FROM Mar 1 i n Spike Werner, Ph. D. PHONE N0. 808 964 5678 Aug. 02 2001 12: 20AM P2 /,WL N4/ ,./1 Jul lp Q1 09:59a h!. Spiky Werner. Ph.D. 961-3452 pal . ~ o~ ~ ~ ~ Caur?ty of Navvadi - Bt~s! lProp~ T'axDm~isi~n `1~~ . ~ ~Ji~~~ ~ ~P ~dt ~ ~ ~ n [C ~y part, cveca iF $ ~ ~ ~ ~ ~ 1 K ' ~$e) App s ~ Socaa9 5eaes~ey IVo. _ _ Add ~ ~ T~ I?1~. A~~` I AAA®~ ~ ~ dataz a~ e~ ass vgl ) b. wr3tll~at ~ ts: OD: ~S: ~ .p c. Y ®D: ~ ®S: . d. I3 a' or wo~'ec ~ ate bps ' trxr~s? [ ) 9re~ [ ] Ab c. 1~ ~ ~ yea Leh e~ad~sc ~via~l ~3d sub~a?d$ a~ ~ f ~ ~ be ~ Ya9c p , [ I Y+~ [ I N~ ~"yam". aae'i' ~ ~ ~ ~.~c~lC30~1~~ (~atti,~t ~ d ~ ~ rb. ~ 3s ~S ) e~ttout aid: ~ . ~~w) ~ ~ is tla~ aaa frequ (SDO-2000) ~ !ice fir? . f ' ~ ear 9Z h3 ~Sg I969}•~r avor j ] 'Y~ [ ] Na ~ . d. Sri ~e ~ "ss AIiT IIl ~IIISA ~ ~ be.. any b. ~ ~ evasae ~ I3at~ esrider ~tatsr (by ~ c. ~d sot ~irdi~gs tbai aba' e® i~ irk a ' ' ~ t!y dissbt~$7 { ~ rtes [ ~ fits . a, °Iv~l®", w~ra$?g~Sph~4ga~<1d app]ic~s~ be ~re~xamC~u~e~d~q ~~ayc g ~e,{p isa+9Q479A #,.7{Iid ~ ~ ?9Ce~ 1~7~H~1®y®~®~&.~i i~W y~.. ®$~Jlid - .~Iva~ iYR t~ above rte, I ha:aby CCiBtfy that: ~p~~~ i~•~ s ~ ~'a' C ~R~t csr+S as S~ d~3~st~®8o mf "~iDf~d°° (7 `°Oaa#°' ~ ] ' tSr "7`..,~..J [ I, ~ dew ~cae caasef~?e~ us tes~ a~~ d~ni9ioras t Z 1 a~cld~"5 ~ s~° . .D~ Sid ~ , , OIRd~lly " ^aa ' Lae Nanabsr 1 Alaaoe of Pbysicea8, t 1?x~ites ads o4 Fbysi~ce~, FROM Marlin Spike Werner, Ph.D. PHONE N0. 808 964 5678 Aug. 02 2001 12_21AM P3 Jul 1o Ox OJs59a f'i. Spike 6derner, Ph. A. 9s1-3hg~ p~2 ' T ' ~ J. i . rte. d des eicrt. 0®~ flee vet ~ ~ ia~a~. ~ is Gass yea the ' ~ (~Oi~ ) i® ' tit ~ ~t8' ~ p~b~ ~ . a~'° tolo~d~- ' . w~lw ~ :~i ~ • ~ b'r ~ ~ ~3 air , ~ . by' e~ fax " ` ` { ?~S-h 3• ' ~ i ~ ~ ~-75A ~@ fie' _ s a - br - . „ . ~ fotax ~ ~ l x-75 B~ 1t4. ' tee- . C~: ~ . 8 Q~p ~ ~ d69 ~7? ° ?a 7i7I &YP ~ `7Sa5~Ob. ` : ~i~+y see. ] t~ - +a ~ ~7~ . ~ ~ "~e1 • (808) 9sB-8?0~ - 32~=353§ K~~ 13gp ®f'T as. ~ ~ . Sew c?g P.®. E3~ 7S S ~ ~ ~lt6~g. 9671-13°F7