Thank You for Your Referral
CHS accepts Medicaid patients with Audiology Orders for Evaluations and who have received Medical Clearance. Physicians must be IMPACT compliant. Audiology Orders for Evaluations can be signed by a licensed physician, a physician assistant, or a nurse practitioner. Medical Clearance Forms must be signed by a licensed physician.
Link to CHS’s Audiology Order for Evaluation
Link to CHS’s Medical Clearance Form