Care Navigator: Find Your Next Step in Hearing Care | UCSF EARS
Tool · Care Navigator

Care Navigator: Find Your Next Step in Hearing Care

This short guide helps you sort out what kind of hearing or ear change you’re dealing with: urgent, gradual, or “I’m just exploring.” Answer four quick questions to get a tailored set of next steps you can act on today.

About 1–2 minutes Designed for phones

This tool is for education, not diagnosis. It cannot see your full medical picture. If something feels like an emergency, or you are very worried, seek care right away even if this tool suggests a non-urgent path.

Answer four questions

Tap the option that feels closest. It’s okay if your situation isn’t a perfect match— this is a starting point for conversation with your own clinicians.

Question 1
Who are you here for today?

This helps us adjust language and suggestions.

You can still use the tool even if you’re not sure which box you fit best.

Question 2
What’s the main thing bringing you here?

Think about how quickly things changed.

Question 3
Let’s get a little more specific.

The options below will adjust based on whether things are sudden or gradual.

Red-flag symptoms (sudden change, one-sided problems, severe vertigo, facial weakness, drainage, or other neurologic changes) are treated as urgent in this tool.

Question 4
What kind of help sounds most doable right now?

There’s no wrong answer. This just shapes the first step we suggest.

You can always come back and choose a different path as your situation changes.

Your suggested next steps

Educational triage

As you answer, we’ll suggest whether your situation looks urgent, gradual, or more exploratory—and point you to practical next steps. When you’re done, your personalized plan will appear here.

Sudden changes & red-flag symptoms

This looks urgent: seek medical care now

Based on your answers, this tool sees a sudden change and at least one red-flag symptom (such as one-sided loss, severe vertigo, facial weakness, ear drainage, or other neurologic changes).

These patterns can signal problems that are time-sensitive for hearing and brain health. Acting quickly can improve the chances of protecting hearing or preventing serious complications.

  • Contact urgent care, an emergency department, or your primary care/ENT office today.
  • Use phrases like “sudden hearing loss,” “new one-sided hearing loss,” or “sudden vertigo with hearing change” when you call.
  • If you notice severe neurologic changes (trouble speaking, weakness, confusion), treat this as a medical emergency and seek emergency services immediately.
Important safety note

This tool cannot diagnose. If you are in the U.S. and worried about stroke, severe infection, or are medically unstable, call emergency services (for example, 911) or go to the nearest emergency department, even if you’re not sure.

Even if symptoms improve, sudden changes—especially in one ear—matter. Tell your clinicians if you experienced a sudden change, not just how you feel now.

Sudden change without clear red-flag symptoms

This still counts as urgent—contact care promptly

You reported a sudden change in hearing or ear symptoms but did not select additional red-flag features. Sudden changes—especially in one ear—can still represent a hearing emergency even without pain or drainage.

Clinicians sometimes use the term “sudden sensorineural hearing loss” for certain patterns of sudden hearing drop. When caught early, treatment may help protect some hearing.

  • Call your primary care provider, ENT, or urgent care as soon as you can and mention “sudden hearing change.”
  • If you notice new one-sided tinnitus, fullness, or imbalance, share that clearly.
  • If any severe vertigo, facial weakness, or neurologic changes appear, treat it as an emergency.
What to say when you call

“My hearing changed suddenly in the last few days, and your website said this can be a time-sensitive issue. Is there someone who can see me urgently?”

This tool leans toward safety. When in doubt about sudden change, we recommend prompt in-person evaluation.

Gradual change · High impact · Ready for care

It’s time to schedule a hearing-focused visit

You described a gradual change in hearing or ear function that is now a big problem most days, and you’re ready to act. That’s exactly when a hearing-focused evaluation can make a difference.

  • Look for an audiologist or hearing clinic to:
    • Measure hearing in each ear.
    • Check how clearly you understand speech.
    • Talk through device options (hearing aids, assistive tech, etc.).
  • If there is a history of ear surgery, infections, drainage, or other medical issues, ask whether you should see an ENT/otologist as well.
Make the most of your visit

Before you go, explore the Understanding hub to learn basic terms, and use the Test Results Decoder after your test to unpack what you’re told.

Gradual change · Mixed impact or not quite ready

Start with learning, then plan a baseline test

You described gradual changes that are noticeable but not overwhelming yet, or you’re not sure how big a problem they are. That’s a good moment to build understanding and get a baseline hearing test—without waiting for a crisis.

  • Consider scheduling a non-urgent audiology visit for a baseline hearing test, even if you’re coping for now.
  • Use the Understanding hub to learn what “mild,” “moderate,” and “severe” actually mean in daily life.
  • If you already have a test, the Test Results Decoder can translate the numbers into plain language.
Everyday experiments

Try small changes—better seating in noisy spaces, turning on captions, or using the iPhone Hearing Health Guide to monitor volume. If those aren’t enough, that’s more evidence to share with a clinician.

Just exploring · No clear change

Curious is good—here’s your “learning first” path

You’re not reporting a specific sudden or gradual change—you’re mostly exploring or checking risk. That’s an excellent time to learn how hearing works and set yourself up for future you.

  • Visit the Understanding hub to:
    • Learn how hearing changes with age.
    • Spot early signs that might matter later.
    • Understand the difference between “hearing” and “understanding.”
  • If you ever get a hearing test, save the printout and run it through the Test Results Decoder.
Use your phone as a helper

The iPhone Hearing Health Guide can help you track headphone loudness and experiment with features like Live Listen and sound recognition. It’s not a diagnostic test, but it’s a useful wellness tool.

If you later notice sudden changes, one-sided issues, or new dizziness, come back to this tool and answer as “sudden” so we can treat that as urgent.

Exploring on behalf of someone else

Build your shared “map” of hearing care

You’re mostly exploring how to help someone else, without a clear urgent problem. That’s a great moment to learn the landscape and gather language that feels respectful and practical.

  • Use the Understanding hub to:
    • Learn how different patterns of loss affect daily life.
    • Find communication tips you can use immediately.
  • When they have a hearing test, walk through the Test Results Decoder together to understand what the audiogram means at home, at work, or at school.
Talking about next steps

You might say: “I’ve been learning about hearing, and there are some simple things that could make listening less exhausting. Want to look at a couple ideas together?”

Child or loved one · Gradual concerns

Plan a hearing-focused check-in and support around them

You’re noticing changes over time in a child or loved one. Even if they’re coping, it’s worth getting a clear picture so you’re not guessing.

  • Ask their primary care clinician about a referral for a hearing test with an audiologist, especially if there are speech, school, or social concerns.
  • After testing, walk through the Test Results Decoder together so everyone understands what the results mean.
For school or work settings

You can share your loved one’s hearing summary with teachers or employers, and explore practical tools in the Devices hub—like remote microphones, classroom tech, or connectivity features.

You’re a professional

Use this tool as a conversation starter, not a diagnosis engine

You identified yourself as a clinician, educator, or other professional. This tool can support triage conversations but doesn’t replace your judgement or local protocols.

  • Use the urgent paths (sudden change plus red-flag symptoms) to normalize why you’re recommending same-day or urgent evaluation.
  • Share the Test Results Decoder with patients and families who leave with audiograms they find confusing.
  • For tech-curious patients, point them to the iPhone Hearing Health Guide and the Devices hub for evidence-aligned device education.
Workflow ideas

Consider including this navigator link in after-visit summaries or educational handouts for “hearing concern” visits, especially when there isn’t time to cover everything in one appointment.

We couldn’t read enough detail

Try tweaking your answers or choose the “learning first” path

The combination of answers you chose didn’t clearly fit one of the main paths we use (sudden/urgent, gradual, exploring, or professional).

  • Double-check that you selected whether the change was sudden or gradual.
  • If you’re mainly curious, pick “I’m just exploring or checking risk.”
  • When in doubt, starting with the Understanding hub and a non-urgent baseline hearing test is rarely the wrong move.

Next Steps in Your Hearing Journey

This navigator is meant to lower decision-fatigue, not replace a live clinician. Use it to organize your thoughts, then bring questions to your care team. If at any point your symptoms feel dangerous or overwhelming, treat that as more important than whatever this page says.