Get the free Newborn Hearing Screening - New Mexico Department of Health
Show details
PHYSICIAN OFFICE HEARING PRESCREEN REPORT FOR INFANTS WHO REFERRED ON THEIR NEWBORN HEARING SCREEN FILL OUT AND FAX TO EDI AT: 7756882984NAME OF CHILD:BIRTHDATE:BIRTH HOSPITAL:GENDER: MALE / FEMALEMOTHERS
We are not affiliated with any brand or entity on this form
Get, Create, Make and Sign newborn hearing screening
Edit your newborn hearing screening form online
Type text, complete fillable fields, insert images, highlight or blackout data for discretion, add comments, and more.
Add your legally-binding signature
Draw or type your signature, upload a signature image, or capture it with your digital camera.
Share your form instantly
Email, fax, or share your newborn hearing screening form via URL. You can also download, print, or export forms to your preferred cloud storage service.
Editing newborn hearing screening online
In order to make advantage of the professional PDF editor, follow these steps below:
1
Sign into your account. If you don't have a profile yet, click Start Free Trial and sign up for one.
2
Upload a file. Select Add New on your Dashboard and upload a file from your device or import it from the cloud, online, or internal mail. Then click Edit.
3
Edit newborn hearing screening. Rearrange and rotate pages, add and edit text, and use additional tools. To save changes and return to your Dashboard, click Done. The Documents tab allows you to merge, divide, lock, or unlock files.
4
Get your file. When you find your file in the docs list, click on its name and choose how you want to save it. To get the PDF, you can save it, send an email with it, or move it to the cloud.
Uncompromising security for your PDF editing and eSignature needs
Your private information is safe with pdfFiller. We employ end-to-end encryption, secure cloud storage, and advanced access control to protect your documents and maintain regulatory compliance.
How to fill out newborn hearing screening
How to fill out newborn hearing screening
01
Step 1: Gather all necessary documents and information needed to fill out the newborn hearing screening form.
02
Step 2: Start by providing the baby's personal information such as their name, date of birth, and gender.
03
Step 3: Specify the hospital or birthing center where the baby was born and the date of their birth.
04
Step 4: Indicate whether the baby has any pre-existing medical conditions or if they were born prematurely.
05
Step 5: Follow the instructions on the form to perform the hearing screening test on the baby.
06
Step 6: Record the results of the screening accurately, noting any abnormalities or concerns.
07
Step 7: Submit the completed form to the appropriate healthcare professional or agency responsible for newborn hearing screening.
08
Step 8: Keep a copy of the form for your records.
Who needs newborn hearing screening?
01
Newborn hearing screening is necessary for all babies born in hospitals or birthing centers.
02
It is especially important for babies who have a high risk or family history of hearing loss.
03
Babies who were born prematurely or have other medical conditions may also require newborn hearing screening.
04
Ultimately, all babies can benefit from hearing screening to ensure early detection and intervention for any potential hearing problems.
Fill
form
: Try Risk Free
For pdfFiller’s FAQs
Below is a list of the most common customer questions. If you can’t find an answer to your question, please don’t hesitate to reach out to us.
How can I manage my newborn hearing screening directly from Gmail?
newborn hearing screening and other documents can be changed, filled out, and signed right in your Gmail inbox. You can use pdfFiller's add-on to do this, as well as other things. When you go to Google Workspace, you can find pdfFiller for Gmail. You should use the time you spend dealing with your documents and eSignatures for more important things, like going to the gym or going to the dentist.
How can I edit newborn hearing screening from Google Drive?
By integrating pdfFiller with Google Docs, you can streamline your document workflows and produce fillable forms that can be stored directly in Google Drive. Using the connection, you will be able to create, change, and eSign documents, including newborn hearing screening, all without having to leave Google Drive. Add pdfFiller's features to Google Drive and you'll be able to handle your documents more effectively from any device with an internet connection.
How do I edit newborn hearing screening straight from my smartphone?
The pdfFiller mobile applications for iOS and Android are the easiest way to edit documents on the go. You may get them from the Apple Store and Google Play. More info about the applications here. Install and log in to edit newborn hearing screening.
What is newborn hearing screening?
Newborn hearing screening is a test that is conducted to identify hearing loss in infants shortly after birth.
Who is required to file newborn hearing screening?
Hospitals and birthing centers are required to conduct and report newborn hearing screening.
How to fill out newborn hearing screening?
Newborn hearing screening forms can be filled out by healthcare providers at the time of the screening.
What is the purpose of newborn hearing screening?
The purpose of newborn hearing screening is to identify hearing loss early so that interventions can be started promptly.
What information must be reported on newborn hearing screening?
The newborn's demographic information, screening results, and follow-up recommendations must be reported on newborn hearing screening.
Fill out your newborn hearing screening online with pdfFiller!
pdfFiller is an end-to-end solution for managing, creating, and editing documents and forms in the cloud. Save time and hassle by preparing your tax forms online.
Newborn Hearing Screening is not the form you're looking for?Search for another form here.
Relevant keywords
Related Forms
If you believe that this page should be taken down, please follow our DMCA take down process
here
.
This form may include fields for payment information. Data entered in these fields is not covered by PCI DSS compliance.
