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State of Illinois Department of Public Health Early Hearing Detection and Intervention Physician Followup Report Child's Name Med. ID Other names this infant may also be known as: Date of Birth Sex:
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How to fill out early hearing detection and:

01
Start by gathering all the necessary information and forms required for the early hearing detection and. This may include personal details such as name, contact information, and date of birth.
02
Carefully read through the instructions provided with the early hearing detection and forms. Make sure you understand all the requirements and sections that need to be filled out.
03
Begin filling out the form, starting with the basic information section. Provide your full name, address, contact number, and any other demographic details that are requested.
04
Move on to the medical history section. Here, you may be required to provide information about any previous hearing issues or medical conditions that could affect the results of the early hearing detection.
05
Fill out any additional sections or questionnaires included in the early hearing detection form. These may cover topics such as family history of hearing loss, exposure to loud noises, or any concerns regarding your own or your child's hearing abilities.
06
If the form requires it, include any supporting documents or medical records that may be relevant to the early hearing detection process. This could include previous hearing test results, doctor's notes, or specialist referrals.
07
Double-check all the information you have provided to ensure accuracy and completeness. Make sure you have accurately filled in every section and signed where necessary.

Who needs early hearing detection and:

01
Infants and young children: Early hearing detection is crucial for infants and young children as any potential hearing issues can significantly impact their language development and overall cognitive abilities. It allows for early intervention and potential treatment options to be explored.
02
Adults with risk factors: Adults who have certain risk factors for hearing loss, such as a family history of hearing impairment, exposure to loud noises, or certain medical conditions like diabetes, should also undergo early hearing detection. It helps in identifying any potential hearing loss at an earlier stage, enabling proactive management and prevention of further deterioration.
03
Individuals experiencing hearing difficulties: Anyone experiencing any form of hearing difficulty, whether sudden or gradual, should seek early hearing detection. It is essential to determine the cause and extent of the hearing loss, as well as explore appropriate treatment options to improve quality of life and communication abilities.
Remember, early hearing detection and intervention play a significant role in preventing further hearing loss and ensuring appropriate management strategies are implemented. It is always advisable to consult with a qualified healthcare professional or audiologist for accurate and personalized guidance.
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Early hearing detection and intervention (EHDI) is a public health program that identifies hearing loss in infants and children as early as possible.
Healthcare providers are required to file early hearing detection and intervention (EHDI) reports.
Healthcare providers can fill out early hearing detection and intervention (EHDI) reports online or submit them through the designated portal.
The purpose of early hearing detection and intervention (EHDI) is to ensure that infants and children with hearing loss receive timely and appropriate intervention services.
Information such as screening results, diagnostic evaluation, and intervention services must be reported on early hearing detection and intervention (EHDI) reports.
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