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Patient Name: OMI AUDIOMETRY QUESTIONNAIRE Hire Date 1. Do you use hearing protection? All the time part-time What type? Plug muffs canal caps combination 2. When was your last exposure to noise?
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Patient Name on Audiometry refers to the individual who is undergoing the audiometry test.
The healthcare provider or audiologist conducting the test is required to fill out the patient’s name on the audiometry form.
The patient’s full name should be clearly written on the audiometry form in the designated space.
The purpose of including the patient’s name on the audiometry form is to ensure accurate record keeping and identification of the individual.
The only information required to be reported on the patient’s name on the audiometry is the patient’s full name.
The penalty for late filing of patient’s name on audiometry form may involve fines or sanctions depending on the specific circumstances and regulations in place.
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