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REFERRAL AND TRACKING FORM ARIZONA EARLY HEARING DETECTION AND INTERVENTION & ARIZONA STATE SCHOOLS FOR THE DEAF AND THE BLIND YUMA PLEASE FAX WITH ASSESSMENT RESULTS WITHIN 48 HOURS TO: ASB fax:
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How to fill out arizona early hearing detection

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How to fill out Arizona early hearing detection:

01
Obtain the necessary forms: Start by obtaining the required forms for Arizona early hearing detection. These forms can usually be found on the official website of the Arizona Department of Health Services or by reaching out to your healthcare provider.
02
Provide personal information: Begin filling out the forms by providing your personal information such as your name, address, contact details, and date of birth. Ensure that all details are accurately filled to avoid any potential issues or delays.
03
Answer screening questions: The Arizona early hearing detection form may include a section with screening questions about your child's hearing. Carefully read and answer each question based on your child's current hearing abilities and history. Be honest and thorough in your responses to provide an accurate assessment.
04
Include medical information: In this section, provide relevant medical information about your child's hearing health. Include details about any previous hearing tests conducted, medical conditions that may affect hearing, or any ongoing treatments or interventions related to hearing loss.
05
Submit the completed form: Once you have filled out the form completely and accurately, check for any errors or missing information. Make sure all required fields are filled before signing and submitting the form. You may need to mail the form or submit it electronically, depending on the specified instructions.

Who needs Arizona early hearing detection?

01
Newborns and infants: Arizona early hearing detection is crucial for newborns and infants to identify any potential hearing impairment early on. Detecting hearing loss at an early stage allows for early intervention, which significantly improves a child's communication and language development.
02
Children with risk factors: Children with risk factors such as a family history of hearing loss, birth complications, or certain medical conditions are also in need of early hearing detection in Arizona. Identifying potential hearing loss in these children helps in providing appropriate support and intervention to optimize their development.
03
School-aged children: Even if a child has passed the initial newborn hearing screening, it is important to periodically undergo hearing tests to detect any changes in hearing abilities. Arizona early hearing detection is necessary for school-aged children to ensure that any hearing difficulties are identified promptly, preventing potential academic and social challenges.
Remember, if you have any specific concerns about your child's hearing, it is always recommended to consult with a healthcare professional or an audiologist for further guidance and assistance.
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Arizona early hearing detection is a program that aims to identify hearing loss in newborns and young children as early as possible.
Healthcare facilities and professionals responsible for the care of newborns are required to file Arizona early hearing detection.
Arizona early hearing detection can be filled out online through the Arizona Department of Health Services website.
The purpose of Arizona early hearing detection is to ensure that hearing loss in newborns and young children is identified and treated early to prevent long-term developmental delays.
Information such as the newborn's name, date of birth, date of hearing screening, screening results, and follow-up plan must be reported on Arizona early hearing detection forms.
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