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Hearing Screening Record Form School Year Name Graduate SchoolTesterFor Pure Tones Put a P (pass) under the column marked R (right) if the child hears all three test tones in the right ear. Put an
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How to fill out hearing screening record form

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How to fill out hearing screening record form

01
To fill out the hearing screening record form, follow these steps:
02
Begin by entering the date of the hearing screening at the top of the form.
03
Fill in the name of the individual being tested in the designated field.
04
Record the age of the person being screened, as it can be an important factor in evaluating the results.
05
Note down any relevant medical or hearing history in the provided section.
06
If applicable, indicate whether the person wears hearing aids or any other assistive devices.
07
Next, document the type of hearing screening test used, such as pure-tone or otoacoustic emissions.
08
Record the results of the hearing screening for each ear separately, noting the frequencies tested and the individual's response.
09
Assess and interpret the results based on the guidelines provided by the screening program or healthcare professional.
10
Finally, sign and date the form to confirm its accuracy and completion.

Who needs hearing screening record form?

01
The hearing screening record form is typically needed by healthcare professionals, audiologists, or individuals responsible for conducting hearing screenings.
02
These professionals use the form to document and track the results of hearing screenings for individuals of all ages.
03
Additionally, organizations and programs focused on promoting hearing health may also require the use of this form to maintain records and statistics.
04
In some cases, employers or educational institutions may request hearing screening records for specific purposes, such as occupational health assessments or enrollment in special education programs.
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Hearing screening record form is a document that records the results of hearing screenings for individuals.
Healthcare providers or facilities conducting hearing screenings are required to file the hearing screening record form.
The form should be filled out with the individual's personal information, the date of the hearing screening, and the results of the screening.
The purpose of the form is to track and record the results of hearing screenings for individuals.
The form should include the individual's name, date of birth, date of screening, screening results, and any recommendations for follow-up.
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