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HEARING SCREENING PROGRAM REPORT PLEASE PRINT ALL AREAS OF THIS REPORT District: Name of School: Phone # School Address: City: Screening Performed By: Screener(s) Attach Copy of Hearing Screening
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The hearing screening program report is a document that provides information about the screening and testing procedures, results, and recommendations for individuals' hearing health.
Healthcare facilities and organizations that conduct hearing screening programs are required to file the hearing screening program report.
To fill out the hearing screening program report, healthcare facilities need to provide details about the program's procedures, individuals screened, test results, and any recommended follow-up actions.
The purpose of the hearing screening program report is to document the outcomes of the screening program, track individuals' hearing health status, and provide valuable data for research and analysis.
The hearing screening program report must include information such as the number of individuals screened, test results (pass or refer), demographic data, referral rates, and any recommended follow-up actions.
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