Document ID: chunk:federal_register_of_legislation:F2016L01332:reg:5
Version: federal_register_of_legislation:F2016L01332
Segment Type: reg
Provision Reference: reg 5
Character Range: 264660–266477

5       Bilateral  sensorineural deafness with
        Right conductive deafness
                                                  2     N/A
    6   Bilateral  sensorineural deafness with
        Left conductive deafness
                                                  2     N/A
    7  Bilateral conductive deafness              2      4
    8  Bilateral  conductive  deafness with
       Right sensorineural deafness
                                                  2     N/A
    9  Bilateral  conductive  deafness with
       Left sensorineural deafness
                                                  2     N/A
  10    Left conductive  deafness with
       Right sensorineural deafness
                                                  2     NWP
   11   Right conductive  deafness with
       Left sensorineural deafness
                                                  2     NWP
  12    Right conductive deafness                 3      5
  13    Right sensorineural deafness              3     NWP
  14    Left sensorineural deafness               3     NWP
  15    Left conductive deafness                  3      5

SND   =   sensorineural deafness
N/A   =   not applicable
NWP   =   no worksheet provided

The Type Numbers in the left hand column refer to types of accepted hearing loss as defined in Table 7.1.1 of the Guide.

    Condition(s) accepted for assessment:

       Accepted hearing loss is equivalent to:  TYPE No.:   4

                 Bilateral Sensorineural Deafness

       Date of audiogram:
/ /

       Veteran's age at date of audiogram:  years

    Accepted Hearing Loss (Air or Bone Conduction) as indicated below:

       Using Air (*) conduction figures  Using Bone conduction figures

  FREQ    Hearing Levels (dB)     Loss
  (Hz)    Right                Left     (%)