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THERAPY 2000 HEARING SCREENING FORM PATIENT NAME: GENDER: DOB: DATE: SCREENER: II. AUDIOMETRIC SCREENING. ENDOSCOPIC SCREENINGPure Tone (25dB), if failed, test at 40dBOtoscopy500Hz1000Hz2000Hz4000HzRight

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What is formrapy hearing screening form?

Formrapy hearing screening form is a form used to assess the hearing abilities of individuals.

Who is required to file formrapy hearing screening form?

Individuals who are undergoing hearing screening are required to fill out the form.

How to fill out formrapy hearing screening form?

To fill out the form, individuals must provide their personal information and details of their hearing screening results.

What is the purpose of formrapy hearing screening form?

The purpose of the form is to document the hearing screening results of individuals for assessment and follow-up purposes.

What information must be reported on formrapy hearing screening form?

The form requires information such as personal details, hearing screening results, and any recommended follow-up actions.

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