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Hearing screening tests provide a quick and cost-effective way to separate people into two groups. A pass group, and a fail group. Those who pass hearing screening are presumed to have no hearing loss. Those who fail are need of an in-depth evaluation by an audiologist and may also need follow-up care from other professionals. Hearing screening occurs from birth throughout the adult years when requested. When conditions occur that increase the risk for hearing loss or when mandated by state and local laws or practices, it is recommended that all hearing screening programs be conducted under the supervision of an audiologist holding the American Speech Language Hearing Association (ASHA) Certificate of Clinical Competence (CCC).