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Utah Newborn Hearing Screening Weekly Reporting Form Date Please Print Clearly and fill out all that applies Midwife Babies Name & ID (Heel stick) Screener Babies Info Moms Information Babies DOB:
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How to fill out utah newborn hearing screening

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How to fill out Utah newborn hearing screening:

01
Obtain the necessary forms: Contact the relevant healthcare provider or hospital to obtain the Utah newborn hearing screening forms. These forms are typically provided to parents after their child is born.
02
Provide personal information: Fill out the form with your baby's personal information, including their full name, date of birth, and gender. Make sure that all information is accurate and legible.
03
Provide parental information: In the form, you may be required to provide your own personal information as the parent or guardian. This can include your full name, contact information, and relationship to the newborn.
04
Medical history: Fill out any questions related to the baby's medical history, including any birth complications or potential risk factors for hearing loss. Be honest and provide as much detail as possible to ensure accurate screening results.
05
Consent and signature: Read through the form carefully and ensure that you understand all the information provided. If you agree to the terms and conditions, sign the consent section of the form. This gives permission for your baby to undergo the Utah newborn hearing screening.
06
Submit the form: Once you have completed all the necessary sections of the form, submit it to the appropriate healthcare provider or hospital. They will process the form and schedule the newborn hearing screening accordingly.

Who needs Utah newborn hearing screening:

01
All newborn babies: The Utah newborn hearing screening is typically recommended for all newborn babies. It is an important screening process that helps identify any potential hearing difficulties or loss early on.
02
Parents and guardians: The screening is also essential for parents and guardians as it provides them with valuable information about their baby's hearing health. By understanding the results, parents can take appropriate action and seek necessary interventions or treatments if needed.
03
Healthcare professionals: The Utah newborn hearing screening is also beneficial for healthcare professionals involved in the baby's care. It allows them to identify and address any hearing concerns early, ensuring that the baby receives appropriate support and intervention.
Overall, the Utah newborn hearing screening is crucial for all newborn babies, parents, guardians, and healthcare professionals. It ensures that any potential hearing issues are identified early, allowing for timely intervention and support.
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Utah newborn hearing screening is a program designed to test the hearing of newborn babies shortly after birth.
Healthcare providers and hospitals in Utah are required to file utah newborn hearing screening for all newborns.
Healthcare providers can fill out utah newborn hearing screening by entering the necessary information into the online portal or submitting a paper form.
The purpose of utah newborn hearing screening is to identify hearing loss in newborns early, allowing for timely intervention and treatment.
The information reported on utah newborn hearing screening includes the baby's name, date of birth, test results, and any follow-up recommendations.
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