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East Central Illinois Community Action Agency Head Start Birth to Three Hearing Screening/Re screen Form Teacher (s) Center: Child's name DOB Test date Responds to screening bell or rattle or (L ear)
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How to fill out 50c hearing screening and:

01
Start by obtaining the 50c hearing screening form. This form is typically provided by the organization or institution conducting the screening.
02
Fill in your personal information accurately. This includes your full name, address, contact number, and any other requested identification details.
03
Provide information about your medical history. Answer any questions regarding previous hearing screenings, known hearing issues, or any other relevant medical conditions.
04
If applicable, provide information about any hearing aids or assistive devices you currently use. This will help the screening personnel understand your specific hearing needs.
05
When filling out the screening form, pay attention to any additional instructions or guidelines provided. These may include specific instructions for certain sections of the form or any measurements required.

Who needs 50c hearing screening and:

01
Individuals working in industries with potential occupational noise exposure, such as construction, manufacturing, or entertainment.
02
People who have been exposed to sudden loud noises or noises at high volumes, leading to potential damage to their hearing.
03
Individuals who have been experiencing symptoms of hearing loss, such as difficulty understanding speech, ringing in the ears (tinnitus), or feeling that others are mumbling when speaking.
04
Anyone who wants to monitor their hearing health regularly or wants to establish a baseline measurement for future comparison.
05
Certain organizations or institutions may require hearing screening as part of their policies or regulations. For example, it may be mandatory for students in certain educational programs or employees in certain professions to undergo regular hearing screenings.
Remember, it is always best to consult with a healthcare professional or an audiologist to determine if a 50c hearing screening is necessary for your specific circumstances. They can guide you on the appropriate steps to take based on your individual needs.
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