John Sutton
1049 N. Queen St.
Huntington, WV 25701
(304) 555-6879

April 13, 2002

Laura Kee
555 St. of Dreams
Huntington, WV 25703

Dear Ms. Kee,

RE: Referral for speech-language evaluation

I am referring Ethan Taylor to you for a speech-language evaluation. Ethan is five years old. Medical records obtained from Ethan's pediatrician, Dr. Edward Arnette show a history of chronic otitis media. The first occurance was on August 20, 1997 when Ethan was 5 months old. Since then, there has been a reoccurance of three to four middle ear infections each year. The middle ear infections were treated with prescriptions of oral antibiotics, as well as ear drops. Treatments were given by Dr. Edward Arnett, and emergency room physicians, Dr. Nancy Stevens and Dr. Mark Sloan.

Pure-tone and bone conduction tests indicate a mild flat conductive hearing loss in the right ear and a mild to moderate flat conductive hearing loss in the left ear. Tympanometry results are Type B, flat.
(I'm going to include other test results, but I'll have to wait until I return to Huntington to review my audiology notes.)

After completing a hearing evaluation on Ethan, I have diagnosed him with a mild flat conductive hearing loss in the right ear and a mild to moderate flat conductive hearing loss in left ear.

After speaking with Mrs. Taylor and observing Ethan during the hearing evaluation, I am concerned about Ethan's language skills. For this reason and because of Ethan's history of chronic otitis media, I am referring Ethan for a speech-language evaluation.

Thank you,
John Sutton