Department of Communication Sciences and Disorders College of Allied Health Sciences University of Cincinnati PO Box 670379 Cincinnati, OH 45267-0379 Animal Audiology Clinic & Bioacoustics Laboratory Peter M. “Skip’ Scheifele, MDr, Ph.D., LCDR USN (Ret.), Director David Brown, Ph.D., Assistant Director Debbie Kemper DVM, Audiology Clinic Veterinarian 3202 Eden Avenue 119 French East Building Phone (513) 558-8503 Fax (513) 558-8500 Email: fetchlab@uc.edu Web www.uc.edu/csd Dear Pet Owner: Your dog has been referred to receive a hearing test. The results of the tests performed will not only tell whether your dog can hear but how well he can hear and if the dog cannot hear, potentially, what the nature of the hearing loss is. Your dog will receive a general ear examination perhaps followed by an Otoacoustic emmissions (DPOAE) test. The DPOAE test tells us whether or not your dog’s inner ear is functioning. Provided the DPOAE yields a “PASS” then an Auditory Brainstem Response (ABR) test will be given. Note the ABR is sometimes referred to in the literature as a Brainstem Auditory Evoked Response (BAER) or Auditory Evoked Potential (AEP) test. Your dog will then be sent home or referred for further imaging (under a different protocol). The report of auditory health will be provided to you and your referring veterinarian. Upon completion of the DPOAE, we will then run an Auditory Brainstem Response (ABR) test. We will be using very tiny subdermal needles placed in three (3) different locations on the dog. Foam ear inserts will be inserted into the ear canal being tested. This protocol may take up to 120 minutes after which your dog can go home. Your dog must be referred by a veterinarian who is not employed by the University of Cincinnati (UC). You have received a form for your veterinarian to fill out telling us important facts about the present health of your dog. This is important information that can help us in assessing your dog’s hearing. If accepted for screening/assessment your referring veterinarian will administer or have you administer a sedative just prior prior to arrival at UC. Your dog will simply lie on a small table or for large dogs on the floor or in your arms (as for puppies) and rest during the procedures. If you wish to have OFFA certifications we have the form here. The test requires the dog to stay relatively still so consult with your veterinarian regarding the necessity for sedation (a mild oral sedative). Sedation is not required nor desired for puppies. Both you and your referring veterinarian will receive a report on the state of your dog’s auditory health and any recommended follow-up activities necessary. At FETCH~LAB all hearing screenings/assessments are always analyzed and confirmed by two (2) audiologists, an animal bioacoustician, and a veterinarian. You understand that your dog’s participation is voluntary and that you may withdraw your dog from the test at any time. You also understand that you remain responsible for you dog’s health and behavior and that UC will not be responsible for injuries to your dog or injuries or property damage caused by your dog. DOG OWNER Signed:__________________________ WITNESS (FETCH~LAB PERSONNEL) Signed: ______________________ Name: __________________________ Name: ________________________ Date: Date: _________________________ __________________________ Owner Phone ____________________ An affirmative action/equal opportunity institution