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Medico-Legal Services

Click Hearing has been offering Medico-Legal services for more than ten years and offers a bespoke testing and reporting service. With prime locations covering Essex and East London together with excellent road, train and underground connections, we are ideally situated for all clients to visit us.

We offer Medico-Legal services for clients locally and across the UK, ranging from small solicitor companies to claim handlers with hundreds of noise induced hearing loss claimants.
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Pure Tone Audiometry (PTA)

A standard pure tone audiogram is usually the starting point for any Medico-Legal hearing assessment.

All of our audiometry can take place in a sound-proof booth with TDH 39 headphones and will be preceded by an otoscopic examination. Testing will routinely include air conduction at 250 Hz; 500 Hz; 1000 Hz; 2000 Hz; 3000 Hz; 4000 Hz; 6000 Hz; and 8000 Hz. Bone conduction will be tested at 500 Hz, 1000 Hz, 2000 Hz, and 4000 Hz where required. Extended frequency testing up to 20,000 Hz can be arranged if required.

Otoacoustic Emissions (OAE)

OAE’s can be recorded from a normally functioning inner ear in response to an acoustic stimulus. The OAE response is a frequency specific objective measure of cochlea function, meaning the inner ear function can be confirmed without the need for any responses from the client. The OAE response cannot be recorded if there is any middle-ear dysfunction, so testing is only performed if tympanometry confirms normal middle-ear function. If there a cochlea hearing loss greater then 30dB an OAE will usually be absent, meaning it is a good indicator of normal cochlea function, but does not provide hearing threshold information. The OAE can be an indicator of early noise or ototoxic damage to the inner ear, before a change in hearing threshold is measurable.

Auditory Brainstem Response (ABR; BSER; BSERA):

The ABR can be used to assess the integrity of the inner ear up to the auditory brainstem and can be used as an indicator for possible neurological conditions. It is also widely used as an objective indicator of hearing function. Unlike the OAE, the ABR can be used to estimate hearing thresholds and can be recorded even in the presence of middle-ear dysfunction. While an ABR is an indicator of the function of the hearing pathways up to the brainstem, it does not test the higher pathways up to the auditory cortex.

A summary report of the findings will be presented along with the results.

Cortical Evoked Response Audiometry (CERA; CAEP):

The CERA is used as an objective measure of hearing along the entire auditory pathway. For this reason, it is most commonly used for Medico-Legal hearing assessment. The CERA is an objective, frequency specific measure of hearing function. Passive cooperation is required from the client meaning (unlike the OAE or ABR) that it cannot be measured from a sleeping or sedated client. During a CERA we will commonly ask a client to read a book or to watch a subtitled film. Prior to a CERA assessment we will also carry out a pure tone audiogram.

A summary report of the findings will be presented along with the results.

What clients are saying

Amy WilliamsAmy Williams
14:56 11 Oct 24
I took my child for an hearing assessment and the assessment was very informative and professional. My son really enjoyed the assessment and found it very interesting with the pictures and diagrams shared and explained. Excellent service, would highly recommend.
Anne KibuukaAnne Kibuuka
10:55 08 Oct 24
Very helpful, effecient. Premises comfortable and clean.
Kerstin BarnesKerstin Barnes
15:41 30 Sep 24
Excellent service! Friendly, efficient and very professional. Felt confident that after my thorough hearing test all was well.Would definitely recommend.
Alex KerrisonAlex Kerrison
10:03 05 Sep 24
Wonderful staff, also very professional helping with your hearing problem…
Antony GunnellAntony Gunnell
06:56 05 Jul 24
Clean, professional setting, helpful and happy staff, great service.
M ShöâeèM Shöâeè
10:38 15 Jul 23
Great quick service for ear wax removal.However, went there today (Saturday 11:30am) and they were shut despite google saying they’re open.
Dave EllisonDave Ellison
06:18 25 May 23
Professional service, helpful friendly staff.
Peter PhelpsPeter Phelps
20:16 26 Oct 22
A very professional business. Thorough and not rushed examination. Very friendly and polite staff. Recommended
Richard PohlRichard Pohl
19:22 24 May 22
Fantastic service, booked online at 6am and was all all done by 9am. Got there early and seen immediately . Went in not hearing a thing and Lisa did a fantastic job getting the wax out. Thank you also to Emily at reception, lovely customer service. If you need help with your ears look no further . Thank you all.
Darell HervelDarell Hervel
12:47 29 Apr 22
Very friendly staff. Quick service. Very informative and useful feedback. The professional took her time explaining everything so I understood everything. Painless and super effective. Had a build up of wax in my left ear and could not hear a thing, booked my appointment that same week and was seen to very quickly and in 20 mins it was done. I can hear again!
Deborah BeattieDeborah Beattie
12:24 29 Apr 22
I was first seen by the receptionist who was very nice. I was seen very promptly for my appointment.Georgia was the lady who looked after me.She was lovely. She was very knowledgeable and checked me over.Everything sorted within the appointment time.My ears feel great again.Would definitely go back again.x
kevin millskevin mills
15:28 13 Jul 24
very professional and polite people very helpful
Renata FurmanRenata Furman
13:15 08 Oct 23
Professional
lisa Martinlisa Martin
18:00 11 Sep 23
Took my dad for an appointment at the Clinc today 11-9-2023 fabulous service would definitely recommend and thank you so much to the lovely receptionist who helped my dad out to the car we really appreciated it their still is some lovely people about 😊
Matt SullivanMatt Sullivan
09:47 05 Sep 23
Great experience with me and my mum, staff were lovely and very helpful and took care of my mum and her blocked ears.
Alicia SalgadoAlicia Salgado
11:37 24 Jun 23
Had the ear wax removal done@Click once again, they are God sent! Lovely, caring and professional team. Got an appointment very quickly. So very grateful! 100% recommend ♥️♥️
Ben MillerBen Miller
08:49 02 Sep 22
I went in for 'vestibular function tests'. The audiologist was excellent. Very personable and friendly. She kept me informed in straightforward, non-jargon language and I felt by the end of it all that I understood what had just happened and what it all meant, rather than just having experienced some sort of arcane medical experiment. Top marks 👍.
Andy WayAndy Way
09:13 08 Jun 22
First visit for me, although I have had the treatment before. Smart interior and polite Receptionist.Professional treatment (Georgia), conducted in a friendly and relaxed fashion. Good communication throughout. Have booked follow up later in the year and would recommend.
Juliette PettittJuliette Pettitt
11:32 22 May 22
Very easy to book an appointment on line at the Chelmsford click hearing.My teenage son was a bit anxious about going but he was very well looked after.Excellent knowledgeable professional treatment and we learned some interesting facts about our ears.Very good after care information to help keep your ears in good health.I will be highly recommending you to my family and friends.Thank you.
Lizzy BLizzy B
09:05 23 Apr 22
Extremely easy to book. I loved being able to see inside my ear after years of ear treatment. The staff were friendly, the service very quick and all in all a fabulous experience. I had the micro suction and won't hesitate to return for it again, along with when I need a hearing aid.
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