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State of California Health and Human Services AgencyDepartment of Health Care ServicesNewborn Hearing Screening Infant Reporting ABRAuditory Brainstem Response, DPOAEDistortion Product Otoacoustic
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How to fill out california newborn hearing screening

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How to fill out california newborn hearing screening

01
Obtain the necessary forms from the hospital or birthing facility where your baby was born.
02
Fill out your personal information, including your name, address, and contact details.
03
Provide your baby's information, such as their name, date of birth, and any other relevant details.
04
Sign and date the form to indicate your consent for the newborn hearing screening.
05
Submit the completed form to the hospital staff or healthcare provider responsible for conducting the screening.

Who needs california newborn hearing screening?

01
All infants born in California are required to have a newborn hearing screening before they leave the hospital or birthing facility.
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California newborn hearing screening is a state-mandated program designed to identify infants with hearing loss shortly after birth to ensure they receive early intervention and support.
Health care providers and hospitals that deliver newborns are required to perform and report the results of the newborn hearing screening.
The California newborn hearing screening form must be completed by the attending healthcare provider, including details such as the infant's information, screening results, and any follow-up actions required.
The purpose of California newborn hearing screening is to detect hearing loss early to facilitate timely intervention, which is crucial for language development and overall quality of life.
The information that must be reported includes the infant's name, date of birth, the results of the hearing test, the date of the screening, and any referrals made for further evaluation.
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