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Print Form MISSOURI DEPARTMENT OF HEALTH AND SENIOR SERVICES NEWBORN HEARING SCREENING RESULTS REPORT 14. TYPE OF SCREENING(check only one) 15. BIRTH ORDER OF MULTIPLE INITIAL PRESCREEN BIRTHS 17.
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How to fill out hearing screening only result

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How to fill out hearing screening only result:

01
Start by obtaining a hearing screening form from a medical professional or hearing screening facility.
02
Fill in your personal information accurately, including your full name, date of birth, and contact information.
03
Provide any relevant medical history, such as previous hearing screenings or related conditions, if applicable.
04
Indicate the date and location of the hearing screening.
05
Next, carefully report the results of the screening. This typically involves noting the specific tests conducted, such as pure-tone audiometry or speech audiometry, and recording the corresponding outcomes for each ear.
06
If a professional administered the screening, their signature and credentials may be required on the form.
07
Finally, review the completed form for any errors or omissions before submitting it to the appropriate party.

Who needs hearing screening only result?

01
Individuals who have undergone a hearing screening and wish to obtain the results for personal records or future reference.
02
Medical professionals who require the screening results to assess a patient's hearing health or to determine the need for further intervention or treatment.
03
Educational institutions or employers that may request hearing screening results as part of their admissions process or job requirements, respectively.
04
Researchers or statisticians who analyze hearing screening data for studies or statistical purposes.
Remember, it is crucial to consult with a qualified healthcare professional or designated organization for guidance specific to your situation or jurisdiction when dealing with hearing screenings and their results.
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Hearing screening only result refers to the outcome of a hearing test done to assess an individual's hearing ability.
Healthcare professionals and facilities are required to file hearing screening only results.
To fill out a hearing screening only result, healthcare providers must record the individual's information, test results, and recommendations.
The purpose of hearing screening only result is to identify any potential hearing issues early on and provide necessary interventions.
The information reported on a hearing screening only result includes the individual's demographics, test results, and any follow-up recommendations.
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