Any of the following high risk factors are considered relevant in determining the possibility of a newborn or infant developing a permanent hearing status that affects speech-language skills under this chapter: Caregiver concern regarding hearing, speech, language, or developmental delay; Family history of a permanent hearing status that affects speech-language skills occurring during childhood; Medical risk factors: Neonatal intensive care for more than 5 days; Extracorporeal membrane oxygenation; Assisted ventilation; Hyperbilirubinemia that requires exchange transfusion of the blood; Exposure to ototoxic medications, such as gentimycin and tobramycin; and Exposure to loop diuretic medications, such as furosemide and lasix; In utero infections, such as cytomegalovirus, herpes, rubella, syphilis, and toxoplasmosis; Craniofacial anomalies; Physical findings associated with a permanent hearing status that affects speech-language skills; Diagnosis of a syndrome associated with a congenital or progressive change in hearing status that affects speech-language skills; Neurodegenerative disorders, including: Hunter syndrome; and Sensory motor neuropathies, such as Friedrich’s Ataxia and Charcot-Marie-Tooth disease; Culture-positive postnatal infections associated with a permanent change in hearing status that affects speech-language skills, including bacterial and viral meningitis; Head trauma, including basal skull and temporal bone fracture, that require hospitalization; and Chemotherapy.