Hearing treatment for a child. African American girl with her mother during installation hearing aid by her audiologist

Hearing loss affects nearly 15% of school-aged children throughout the United States (CDC). Without intervention, hearing loss can negatively impact the child’s academic performance, as well as their social emotional well-being. Early identification and intervention can minimize the negative effects of hearing loss. Studies have shown that children identified at birth who receive intervention services before they are six months old often develop language (spoken or sign language) on par with typical hearing peers (ASHA). Continued support in the educational environment is essential to ensure students with hearing loss do not fall behind and have access to spoken language instruction and communication.

Considering the ESD 113 four pillar goals (close gaps, grow people, influence change, eradicate racism), ESD 113 Audiology services support school districts within the Capital Region and their students with hearing loss, regardless of the student’s mode of communication, to ensure an accessible and equitable educational environment. With intervention and support, Deaf/Hard of Hearing Students can have the same opportunity for success as typical hearing peers.


  • Hearing screening and evaluations for students to identify those with suspected hearing loss and to monitor those with diagnosed hearing loss.
  • Collaboration with managing audiologists to ensure continuity of care for students with hearing loss.
  • Functional Listening Evaluations to determine the student’s functional ability to access auditory information in the classroom and appropriate accommodations to ensure the student has access to verbal instruction and communication.
  • Participation with IEP/504 Teams advising on placement and program decisions with specific recommendations to address listening and communication needs.
  • Recommendations and Training for personal hearing assistive technology to optimize auditory access.
  • Provides Information and Resources for school personnel, families, and community partners regarding hearing loss and the prevention of hearing loss.

If you have concerns about a child’s hearing ability or services for a child with a diagnosed hearing loss, submit the inquiry form below, and our audiologist, Dr. Rebecca Larsen, will get back to you as soon as possible. 

We look forward to hearing from you!

Inquiry Form

Please complete the form below if you suspect a student may have hearing loss or to obtain services for a student with a diagnosed hearing loss.

Suspected hearing loss:

  • Washington State law (WAC 246-760) requires schools to conduct auditory and visual screenings of children each year. Students in grades K, 1, 2, 3, 5 and 7 are screened.
  • Two hearing screening screenings should be conducted by trained school personnel prior to a comprehensive hearing assessment. If the child does not pass the initial hearing screening, then a second screening should be completed within six weeks.
  • If a child does not pass a second screen, the child should be referred to a clinical audiologist for a comprehensive hearing evaluation.
  • ESD 113 Audiology can assist schools with screenings or train assigned school personnel to perform hearing screenings. 

Diagnosed hearing loss:

  • ESD 113 Audiology provides support for a child with hearing loss in the educational environment, including assessments to monitor the child’s hearing loss and collaboration with the managing audiologist to ensure continuity of care with the child’s medical home.
  • Audiological services are also provided to support school districts in providing services and accommodations as directed by the child’s IEP or 504 plan. Services may include functional assessments within the child’s classroom environment, classroom acoustical assessments, recommendations for accommodations and fitting, assistance, and staff training for students using hearing-assistive technology.
Referral Form

Early Hearing Detection, Diagnosis and Intervention | Washington State Department of Health: Resources in English and Spanish about early hearing detection for families and organizations.

Support Services for Children with Hearing Loss - ASHA: Early intervention and hearing rehabilitation services for children with hearing loss.

Babies Can't Wait - Developmental Milestones: Information on developmental milestones from birth to 3 years old.

Washington Early Support for Infants and Toddlers - forms and publications: Training curriculum (English/Spanish) that provides an overview of the IDEA, Part C Early Intervention system in Washington state.

Success for Kids with Hearing Loss: Resources to help parents, teachers, and professionals improve outcomes for children with hearing loss.

Washington Center for Deaf and Hard of Hearing Youth: Washington state program for childhood deafness and hearing loss.

Washington Hands and Voices: Parent support organization noted for parent-to-parent support through their Guide by Your Side program.

Laurent Clerc National Deaf Education Center: Elementary and secondary education programs for deaf and hard of hearing students. Clerc develops and disseminates innovative curricula, instructional techniques, and products nationwide while providing information, training, and technical assistance for parents and professionals to meet the needs of deaf and hard of hearing students from birth to age 21.

Contact Us

Dr. Amanda Peluso, AuD, CCC-A, F-AAA
Educational Audiologist
Juli Aselton
Support Specialist