
Get the free Hearing Screening Report - msdh ms
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Mail Mississippi State Department of Health MSDH Jackson MS 39215-1700 MS-HIN msdh-ehdi ms-hin.medicity. Pinna ear canal ear tags ear pits and temporal bone anomalies. oxygenation ECMO assisted ventilation. more than five 5 calendar days in the NICU/PICU/PCICU. Syndrome associated with hearing loss or progressive/late onset hearing loss e.g. neurofibromatosis osteopetrosis or Usher Waardenburg Alport Pendred and Jervell and Lange-Nielson syndromes or physical characteristics associated with...
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How to fill out hearing screening report

How to fill out hearing screening report
01
Open the hearing screening report form.
02
Fill in the patient's personal information such as name, date of birth, and contact details.
03
Provide details about the hearing screening equipment used.
04
Indicate the date and time of the hearing screening.
05
Record the results of each ear separately.
06
Specify the testing environment (e.g., quiet room, sound booth).
07
Include any comments or observations made during the screening process.
08
Sign and date the report to certify its authenticity.
09
Submit the completed hearing screening report to the appropriate entity.
Who needs hearing screening report?
01
Newborn babies to identify any hearing impairment from birth.
02
Children entering school to ensure normal hearing development.
03
Individuals working in noisy environments or exposed to loud noises.
04
Candidates for certain job positions that require adequate hearing abilities.
05
Individuals undergoing medical evaluations for hearing-related conditions.
06
People seeking assistance for hearing aids or other hearing devices.
07
Individuals with known or suspected hearing loss or hearing problems.
08
Anyone interested in monitoring their hearing health and seeking prevention.
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What is hearing screening report?
The hearing screening report is a document that records the results of a hearing test to determine if an individual has any hearing loss.
Who is required to file hearing screening report?
Certain individuals, such as employers or healthcare providers, may be required to file a hearing screening report for their employees or patients.
How to fill out hearing screening report?
The hearing screening report can be filled out by recording the details of the hearing test results, including the individual's name, test date, and the results of the test.
What is the purpose of hearing screening report?
The purpose of the hearing screening report is to assess an individual's hearing ability and identify any potential hearing loss that may require further evaluation or intervention.
What information must be reported on hearing screening report?
The hearing screening report must include details such as the individual's name, age, test date, testing method used, and the results of the test.
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