Get the free TEHDI FOLLOW-UP AND INTERVENTION FORM - dshs state tx
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This form is used for reporting diagnostic assessments, changes in diagnosis, fitting of amplification or assistive devices, and referrals for children aged 0-5 years.
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How to fill out tehdi follow-up and intervention
How to fill out TEHDI FOLLOW-UP AND INTERVENTION FORM
01
Start by gathering all necessary patient information, including name, address, and contact details.
02
Fill in the child's date of birth and medical history relevant to hearing.
03
Provide information on the initial hearing screening results.
04
Indicate any follow-up appointments that have been scheduled.
05
Outline the intervention services being recommended or already in place.
06
Include details about the family dynamics and support systems.
07
Sign and date the form before submission.
Who needs TEHDI FOLLOW-UP AND INTERVENTION FORM?
01
Children who have undergone hearing screenings and require follow-up evaluations.
02
Healthcare providers managing pediatric patients with potential hearing issues.
03
Families of children identified with hearing loss during screenings.
04
Educational institutions that need to track intervention for children with hearing impairments.
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What is TEHDI FOLLOW-UP AND INTERVENTION FORM?
The TEHDI FOLLOW-UP AND INTERVENTION FORM is a documentation tool used within the Texas Early Hearing Detection and Intervention program to track the follow-up services and interventions provided to infants and children who are identified with hearing loss.
Who is required to file TEHDI FOLLOW-UP AND INTERVENTION FORM?
Healthcare providers, audiologists, and other professionals involved in the care and management of infants and children with hearing loss are required to file the TEHDI FOLLOW-UP AND INTERVENTION FORM.
How to fill out TEHDI FOLLOW-UP AND INTERVENTION FORM?
To fill out the TEHDI FOLLOW-UP AND INTERVENTION FORM, practitioners must provide accurate information regarding the child's identification, any services provided, and recommendations for further intervention or follow-up care.
What is the purpose of TEHDI FOLLOW-UP AND INTERVENTION FORM?
The purpose of the TEHDI FOLLOW-UP AND INTERVENTION FORM is to ensure that children with identified hearing loss receive timely follow-up care and necessary interventions to support their auditory development and overall well-being.
What information must be reported on TEHDI FOLLOW-UP AND INTERVENTION FORM?
The TEHDI FOLLOW-UP AND INTERVENTION FORM must report information such as the child's personal details, date of hearing screening, results of any diagnostic evaluations, interventions provided, and recommendations for future care.
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