Department of Health
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Specialty: ENT
Age group: Children

Direct to an emergency department for an ENT assessment

  • Sudden hearing loss due to trauma or with neurological signs
  • Sudden, profound hearing loss.

Criteria for referral to public hospital service

  • Asymmetrical hearing loss with significant impact on the child
  • Sensorineural hearing loss confirmed by diagnostic audiology assessment
  • Symmetrical hearing loss caused by ototoxic medicine(s).

Information to be included in the referral

Information that must be provided

  • Reason for referral and expectation or outcome, anticipated by the patient, or their carer, and the referring clinician from referral to the health service
  • Findings on physical examination including otoscopic examination
  • Description of hearing loss or change in hearing
  • The functional or psychological impact on quality of life or activities of daily living including impact on school, study, or social activities
  • Details of previous management including the course of treatment(s) and outcome of treatment(s) including details of any relevant infections
  • Child's age
  • Relevant medical history and comorbidities
  • Results of diagnostic audiology assessment.

Provide if available

  • Relevant family history
  • Relevant medication history
  • Statement about the parent(s) or guardian’s interest in having surgical treatment if that is a possible intervention
  • If the child is neurodiverse, gender diverse or has a disability
  • If the child identifies as an Aboriginal and/or Torres Strait Islander
  • If the child is from a culturally and linguistically diverse background
  • If the child lives in out-of-home care (foster care, kinship care, permanent care or residential care)
  • If the child is aged 14-18 years, do they consent that their health information is shared with their parent, guardian or carer.

Additional comments

The Minimum information for referrals to non-admitted specialist services lists the information that should be included in a referral request.

The referral should note if the request is for a second or subsequent opinion as requests for a second opinion will usually not be accepted.

Where appropriate and available the referral may be directed to an alternative specialist clinic or service.

Referral to a public hospital is not appropriate for

  • Child with a normal audiogram.

Reviewed 25 June 2025

Statewide Referral Criteria

Contact us

Address
50 Lonsdale Street
Melbourne, VIC 3000

Phone
1300 650 172
National Relay Service

Email
plannedcare@health.vic.gov.au

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