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ATTENTION HEARING SCREENER: If you want the Missouri Department of Health and Senior Services (DSS) to make an appointment reminder phone call to baby parent, please fax appointment card to DSS Fax
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Open the attention hearing screener form.
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Read the instructions and questions carefully.
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Provide your personal information such as name, age, and contact details.
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Answer each question honestly and to the best of your ability.
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Submit the completed attention hearing screener form to the appropriate authority or organization.

Who needs attention hearing screener?

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Attention hearing screener is typically needed by individuals who suspect they may have issues with attention or hearing.
02
This may include individuals experiencing difficulty concentrating, paying attention, or following conversations.
03
People who have been referred by healthcare professionals or practitioners may also need to complete an attention hearing screener.
04
The purpose of the screener is to identify possible attention or hearing problems and provide useful information for further evaluation or treatment.
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