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School nurse conducting hearing screening with headphones in quiet room
School Nurses

Hearing Screening Newsletter: Communicating School Audiology Screenings to Families

By Adi Ackerman·May 24, 2026·5 min read

Young student with headphones during school hearing test

Hearing loss is one of the most undertreated conditions in school-age children. A student who is missing parts of classroom instruction because of undetected hearing loss may spend years labeled as inattentive or struggling before anyone identifies the actual cause. School hearing screenings exist to catch these students early, and the communication around the screening determines whether families take the results seriously enough to follow through.

Pre-screening: Set up families before the test happens

Your pre-screening newsletter should arrive two weeks before the testing date. Cover what the hearing test involves: headphones, tones at different frequencies, and a simple response from the student. Tell families approximately how long it takes. For younger students especially, knowing what to expect reduces anxiety on the day and improves cooperation, which improves the accuracy of the results.

Ask families to let you know if their child currently has ear pain, a recent ear infection, fluid in the ears, or active allergy symptoms that affect hearing. These conditions can cause a screening failure that does not represent a true hearing problem. Catching these situations before the screening saves you and the family time.

Explain the difference between a screening and a full evaluation

School hearing screenings test the ability to hear tones at specific frequencies and volumes. They are not full audiological evaluations. A child who passes the screening may still have processing issues that affect how they understand speech in a noisy environment. A child who fails may have a temporary blockage that resolves on its own. Your newsletter should make this distinction clearly so families interpret results with appropriate context.

Walk families through the referral process

When a student does not pass the screening, the referral notice is often the family's first communication about a potential hearing issue. Explain in your newsletter what a referral means, what kind of appointment to make (an audiologist for a comprehensive evaluation or a pediatrician if fluid in the ears is suspected), and how quickly the follow-up should happen. A referral that sits on a counter for six weeks is a missed opportunity.

Follow up on referrals systematically

Referral follow-through rates at most schools are lower than they should be. The most effective thing you can do to improve this is communicate the expectation clearly and follow up with families who have not returned documentation. Your post-screening newsletter should remind families who received a referral of the timeline and what documentation to return to the health office.

Include classroom implications for students with hearing concerns

If a student is waiting for a specialist appointment and experiencing hearing difficulty in the meantime, there are classroom accommodations that teachers can make. Preferred seating near the front, facing the speaker when giving directions, and minimizing background noise during key instruction are all low-cost interventions. A brief section on this in your post-screening newsletter helps families advocate for their child while they wait for a formal evaluation.

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Frequently asked questions

When should hearing screening newsletters go out?

Two weeks before the screening date is the standard. For kindergarten or first grade screenings where students may not have been screened before, send three weeks ahead and include a brief explanation of what the test feels like so children are not anxious on the day.

What should families know before a hearing screening?

Whether their child has had a recent ear infection or is currently experiencing ear pain, since this can affect results. Whether their child already uses hearing aids or has a known hearing condition. And what the testing process involves so they can prepare their child for it.

How do you explain a hearing referral to a family?

A referral means the screening found something worth evaluating by an audiologist or ENT. It does not mean hearing loss is confirmed. Common causes of a failed screening include temporary fluid in the ear, a recent cold, or test conditions on that day. Explain this so families do not assume the worst.

What should happen after a hearing referral is sent home?

The health office should document when the referral was sent, follow up with the family within two to three weeks if no documentation of a specialist visit has been returned, and track the outcome. Referrals that are not followed up on represent a missed opportunity to catch real hearing loss early.

Can Daystage help school nurses track hearing screening follow-ups?

Daystage handles the communication side of follow-up. You can send a targeted reminder newsletter to families who have not yet returned documentation after a referral, using the same newsletter format without rebuilding it each time.

Adi Ackerman

Adi Ackerman

Author

Adi Ackerman is a former classroom teacher and curriculum writer with 8 years in K-8 schools. She writes about school communication, parent engagement, and what actually works in real classrooms.

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