To accommodate for the growing presence of Asian families living with hearing loss in Missouri, it is crucial to be culturally sensitive to facilitate the evaluation, therapy and advocacy process. This presentation aims to inform future clinicians about cross-cultural communication, stereotypes, differences and influences in Asian culture, different cultural stigma surrounding disabilities, and inclusion techniques in American curricula and therapy. To facilitate discussion, experiences of Asian immigrant families with loved ones enrolled in specific schools for the deaf in both Missouri and the United States will be discussed.