PDF
Word
This version of the form is not currently in use and is provided for reference only. Download this version of
the document
for the current year.
Audiologist Application - Children's Hearing Aid Program (Chap) - Utah
Audiologist Application - Children's Hearing Aid Program (Chap) is a legal document that was released by the Utah Department of Health and Human Services - a government authority operating within Utah.
FAQ
Q: What is the Children's Hearing Aid Program (CHAP) in Utah?
A: The Children's Hearing Aid Program (CHAP) in Utah is an application for audiology services and hearing aids for children.
Q: Who is eligible for the CHAP program?
A: Children in Utah who are under the age of 18 and have been diagnosed with a hearing loss are eligible for the CHAP program.
Q: What services are provided through the CHAP program?
A: The CHAP program provides audiology evaluations, hearing aids, follow-up services, and repair and replacement of hearing aids.
Q: How do I apply for the CHAP program?
A: To apply for the CHAP program, you need to complete an application with the Utah Department of Health and submit it along with required documentation.
Q: What documents are required for the CHAP program application?
A: The required documents for the CHAP program application include proof of residency, proof of income, and a diagnosis of hearing loss from a licensed audiologist.
Q: Are there any income requirements for the CHAP program?
A: Yes, there are income requirements for the CHAP program. The program is designed for families with low to moderate incomes.
Q: Is the CHAP program specific to a certain age group?
A: Yes, the CHAP program is specifically for children under the age of 18.
Q: Are there any fees associated with the CHAP program?
A: No, there are no fees associated with the CHAP program. However, families are responsible for transportation and travel expenses.
Q: Is there a waiting period for the CHAP program?
A: Yes, there may be a waiting period for the CHAP program due to funding limitations and the number of applications received.
Q: Can the CHAP program provide services outside of Utah?
A: No, the CHAP program is specific to Utah and serves children within the state.
Form Details:
- Released on June 1, 2020;
- The latest edition currently provided by the Utah Department of Health and Human Services;
- Ready to use and print;
- Easy to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a fillable version of the form by clicking the link below or browse more documents and templates provided by the Utah Department of Health and Human Services.
