An affidavit is statement of facts which is sworn to (or affirmed) before an officer who has authority to administer an oath (e.g. a notary public). The person making the signed statement (affiant) takes an oath that the contents are, to the best of their knowledge, true. It is also signed by a notary or some other judicial officer that can administer oaths, affirming that the person signing the affidavit was under oath when doing so. This form is a generic example that may be referred to when preparing such a form for your particular state. It is for illustrative purposes only. Local laws should be consulted to determine any specific requirements for such a form in a particular jurisdiction
Affidavit with Answers to Questions Regarding Observations of the Health of a Family Member - Hearing Loss
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How can a health care professional communicate with someone who is hearing-impaired? Use sign language, face patients when speaking, speak clearly, keep sentences short and uncomplicated.
Gain attention Gain the listener's attention before you begin talking, for example, by saying his or her name. If the person with hearing loss hears better from one ear, move to that side of the person. Also consider touching the listener's hand, arm or shoulder lightly to gain attention.
Face the hearing-impaired person directly, on the same level and in good light whenever possible. Do not talk from another room. Speak clearly, slowly, distinctly, but naturally, without shouting or exaggerating mouth movements. Say the person's name before beginning a conversation.
Find out how they communicate. Get their attention. Face them when you're talking. Speak clearly and naturally. Watch your mouth. Use visual cues, where possible. Make it clear what the topic of conversation is. Stand with your face to the light.
Speak clearly and don't shout Shouting will make your voice distorted and hard to understand. Instead, speak clearly and if necessary, slightly slower than normal. If you do need to raise your voice, project your voice the way you would if you were speaking to a person on the other side of the room.
Speak clearly, slowly, distinctly, but naturally, without shouting or exaggerating mouth movements. Shouting distorts the sound of speech and may make speech reading more difficult. Say the person's name before beginning a conversation.
Get Their Attention. Respectfully get the senior's attention before speaking. Reduce Background Noise. Speak One at a Time. Speak Clearly and Loudly. Repeat Yourself. Rephrase Your Question or Statement. Appearances and Visual Cues Matter. Be Understanding.
Find ways to communicate more effectively with the child. Don't talk while you're turned away from the student, such as when you're walking around the room or writing on the board. Reduce background noise as much as possible. Help the student engage with the rest of the class. Consider hearing assistance technology.
Get Their Attention. Respectfully get the senior's attention before speaking. Reduce Background Noise. Speak One at a Time. Speak Clearly and Loudly. Repeat Yourself. Rephrase Your Question or Statement. Appearances and Visual Cues Matter. Be Understanding.