Pediatric Audiology Services

Caring For Your Child

Your Child’s Needs

Determining Your Child’s Hearing Loss

Hearing loss is one of the most common conditions detected in children and infants.

It’s estimated that hearing loss occurs in three out of every 1,000 babies born in the United States. Screenings begin at birth and should continue on a regular basis throughout life.

Uncovering and addressing your child’s unique hearing loss and the best solution is vital for their continued development and well being. Pediatric Audiology is an essential part of your child’s healthcare, and no child is too young to have a hearing evaluation.

We work to ensure your child’s access to the best hearing care possible. At Hearing Resources Audiology Center, we offer you and your child comprehensive pediatric audiology care from birth and throughout their childhood.

Pediatric Audiology Services We Provide
  • Hearing evaluations, including both screening and diagnostic testing.
  • Auditory Processing Evaluations and Treatment.
  • Hearing aid fittings, verification, care & maintenance and monitoring.
  • FM and other assistive hearing technologies for the home and classroom
  • Collaboration with school professionals on classroom hearing accommodations.
  • Collaboration with physicians, early intervention, speech pathology, community, and other service providers.
  • Custom molds for swimming, MP3 earbuds for safe listening, sleep plugs, and many other types.
  • Healthy hearing education including hearing protection both custom and non-custom options
  • Friendly, accessible information regarding your rights as parents and your child’s rights under the law as it relates to hearing access in the schools. We help you advocate for your child.

Types of Hearing Evaluations We Provide:

  • Tympanometry – The testing of the middle ear and eardrum by creating variations of air pressure in the ear canal. This can determine if there is a blockage impeding sound.
  • Acoustic Reflexes – The testing of the neural loop – testing the integrity of the connections between the inner ear to the brain stem, and back to the middle ear system. This test looks very similar to Tympanometry, but is testing a different part of your child’s hearing anatomy.
  • Otoacoustic Emissions – A test involving the cochlea, recording the motion of the cochlea’s sensory hair cells as they respond to auditory stimulation. A small probe tip is placed in the ear canal. The response to sounds is then recorded.
  • Audiometry – The traditional “booth beep test”, where your child responds to varying frequencies and volumes in a soundproof booth. These are a few types of audiometry testing we perform:
  • Behavioral Audiometry: For infants aged birth to six-eight months old – how your baby responds to sounds, such as startling or turning their head, is recorded and analyzed.
  • Visual Reinforcement: For infants aged six-eight months and older – your child is trained to look toward a sound source. When your child gives a correct response, he or she is “rewarded” with a visual reinforcement (a toy lighting up, etc.)
  • Conditioned Play: For toddlers and preschoolers, aged two to four, your child is trained to perform an activity when a sound is heard. We commonly refer to this type of testing as a “sound game.” Once your child learns how to “play,” testing gets underway.
  • Conventional Audiometry: For children aged five and older, your child raises their hand or gives a verbal response when they hear the sound stimulus.

To provide a complete auditory processing assessment, we not only administer auditory processing tests but also gather assessment data from the patient, family and professionals who have worked with the individual. It is essential to rule out hearing loss and other developmental and life factors as potential contributors to a person’s language comprehension, language generation and attention regulation difficulties. Referral for a thorough audiological assessment is recommended to address whether even mild hearing loss may be interfering with a patient’s auditory processing and related communication and academic learning progress.

Testing via iPad

Children are assessed using an automated testing application on the clinic’s iPad via the acoustic pioneer software. Children often find this testing pleasant as the graphics are fun and bright even though the tasks can be quite difficult. This assessment tests a variety of basic auditory skills. Research literature indicates that these skills are important for higher level abilities such as developing and understanding language, phonemic awareness, phonics, reading abilities, and other skills that are important for classroom learning such as, hearing speech amongst noise and auditory memory.

Testing via Audiometer:

Testing under insert earphones in soundbooth
Three tests are given to children to investigate auditory processing abilities. The ability to obtain speech in the presence of competing, ipsilateral noise is assessed using W-22 words with a 5dB SNR (with speech slightly louder than background noise). The ability to integrate information presented to both ears simultaneously ismeasured using the Staggered Spondaic Word test (SSW). Finally, phonemic awareness is assessed using the Phonemic Synthesis Test.

Come See Us

Your Child’s Well Being is Important To Us

When you bring your child to see us at Hearing Resources Audiology Center, we strive to make you and your child feel relaxed and comfortable throughout your visit with us.

We will provide your benefits information available to you if you have provided insurance information prior to arriving.

Toys and books are available to help put you and your child at ease, and you can participate with your child to ensure the best experience possible.

We promise to be patient and listen to you and your child to help obtain the most accurate results. To us, your experience with Hearing Resources Audiology Center is more than an appointment; it’s a relationship.


4311 NE Tillamook St
Portland, OR 97213
Phone: (503) 774-3668
Fax: (503) 774-7247


Tuesday 9-5

Wednesday 10-6:30

Thursday 10-6:30

Friday 10-4