Reviewed by Dr Manuj Agarwal · Last updated 1 September 2026
Why does a child's hearing need to be checked?
Untreated hearing loss in children may affect speech and language development and can have a detrimental effect on academic progress. The assessment begins with questions about your concerns, your child's ear history and general health, then moves to testing suited to their age.
Which tests are used at each age?
| Test | Age | What it shows |
|---|---|---|
| Tympanometry | All ages | Middle ear function, fluid, perforations and grommet patency |
| TEOAE (otoacoustic emissions) | All ages | Whether the outer hair cells in the inner ear are working, using a small probe and sound |
| Visual response observation audiometry (VROA) | Under 2 years | Head-turn responses to sound with a visual reward, showing hearing levels and access to conversational speech |
| Play audiometry | Over 2 years | Reliable hearing thresholds while the child does a simple activity, such as placing pegs, when they hear a sound |
| Speech audiometry | Over 2 years | Word recognition at the softest audible levels |
| Pure tone audiometry | Over 5 years | The softest sounds heard, measured through earphones |
What should I expect on the day?
- Conversation. We ask about your child's development, ear infections, family history and any concerns from home or school.
- Gentle testing. Tests are made into a game where possible, so children stay relaxed and engaged.
- Results explained. We explain the findings in plain language and recommend next steps, including referral to your GP or a specialist if needed.
When should you book?
For children over six with listening difficulties despite normal hearing, ask about our auditory processing test. Bulk billing is available with a GP referral, and NDIS participants are welcome.
- You notice your child not responding to sounds or asking for repetition
- Speech or language seems delayed
- Frequent ear infections or fluid in the ears
- Concerns raised by a teacher or childcare worker
- A family history of childhood hearing loss
Frequently asked questions
What is a paediatric hearing assessment?
It is a set of hearing tests designed for children. The audiologist gathers your child's ear and health history, then uses tests matched to their age, such as tympanometry, otoacoustic emissions, play audiometry or pure tone audiometry, to check how well they hear.
At what age can a child's hearing be tested?
Children can be tested at any age. Tympanometry and otoacoustic emissions suit all ages, including babies. Head-turn testing is used under two years, play audiometry over two years, and pure tone testing over five years.
Will my child need to sit still for the test?
Not for long. Tests are adapted to the child's age and turned into simple games or observation, so most children find it engaging. Otoacoustic emissions and tympanometry are quick, painless and use a small soft probe at the ear opening.
Does my child need a GP referral?
No referral is needed to book. A GP referral is required if you want the appointment bulk billed, and for children assessed under certain funding programs. Call 03 7042 9301 and we can advise what applies.
How does hearing loss affect a child at school?
Untreated hearing loss may affect speech and language development and can have a detrimental effect on academic progress. Early assessment helps identify any problem so support can start sooner.
Related information
Hearing test
A full diagnostic hearing assessment with results and a clear plan in the same visit.
Learn more →Auditory Processing Disorder
Assessment and management for children who hear normally but struggle to understand speech.
Learn more →Eustachian Tube Function Test
A tympanometry-based test that checks how well your middle ear pressure is regulated.
Learn more →Ear Wax Microsuction
Gentle, water-free ear wax removal by an audiologist using magnification and low suction.
Learn more →Book at a clinic near you
Dandenong
Medical Specialists, 60 Stud Road, Dandenong GP Superclinic VIC 3175
- Wednesday: 9am–4pm
- Saturday: 12pm–5pm
Your journey to better hearing starts here
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