Get the free Texas Early Hearing Detection and Intervention Reporting Form - dshs texas

Texas Early Hearing Detection and Intervention Reporting Form OUTPATIENT HEARING SCREENING Please complete all areas of the form and fax the completed form to 8173853939 ATTN: MEHDI Program. Contact ozhelp@ozsystems.com

How to fill out texas early hearing detection

How to fill out texas early hearing detection

1. Obtain the necessary forms: You can download the Texas Early Hearing Detection and Intervention (TEHDI) Parent Questionnaire from the TEHDI website or request a copy from your child's doctor.
2. Fill in your child's demographic information: Provide your child's name, date of birth, gender, and other requested details on the form.
3. Answer the questionnaire: The questionnaire consists of several sections that ask about your child's hearing milestones and any concerns you may have. Answer each question accurately and to the best of your knowledge.
4. Complete any additional information: The form may ask for additional details regarding your child's medical history, family history of hearing loss, and any existing hearing aids or assistive devices.
5. Review and submit the form: Double-check all the information you have provided, make any necessary corrections, and sign the form. Submit it to the appropriate organization or healthcare provider responsible for the Texas Early Hearing Detection program.

Who needs texas early hearing detection?

1. The Texas Early Hearing Detection program is designed for parents and caregivers of infants and young children. It is particularly important for individuals with newborns or children up to three years old who may be at risk of or exhibit signs of hearing loss. This includes babies who fail their initial hearing screening, have a family history of hearing loss, have specific medical conditions associated with hearing loss, or experienced prolonged stays in the Neonatal Intensive Care Unit (NICU). It is recommended that all parents and caregivers of young children in Texas participate in the Early Hearing Detection program to ensure early identification and intervention for hearing loss.

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What is Texas early hearing detection?

Texas Early Hearing Detection refers to a statewide program aimed at identifying hearing loss in infants and young children as early as possible to ensure timely intervention and support.

Who is required to file Texas early hearing detection?

Hospitals and birthing facilities in Texas are required to file Texas Early Hearing Detection reports for every newborn before they are discharged.

How to fill out Texas early hearing detection?

To fill out the Texas Early Hearing Detection, providers must complete a standardized form that includes information about the newborn, hearing screening results, and follow-up actions if necessary.

What is the purpose of Texas early hearing detection?

The purpose of Texas Early Hearing Detection is to ensure all newborns are screened for hearing loss, facilitating early diagnosis and intervention to promote better developmental outcomes.

What information must be reported on Texas early hearing detection?

The report must include the infant's name, date of birth, screening results, any follow-up recommendations, and the name of the facility conducting the screening.