MN School Hearing Screening Worksheet 2022-2025 free printable template
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School Hearing Screening Worksheet Child's Name: ___Screen Date: ___Date of Birth: ___Re screen Date: ___Teachers Name: ___Any Parent/Teacher/Child concerns about hearing? ___Grade: ___ Visual Inspection
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How to fill out school hearing screening worksheet
How to fill out MN School Hearing Screening Worksheet
01
Gather the necessary information: student's name, date of birth, grade, and date of screening.
02
Fill in the screening date and the name of the person conducting the hearing screening.
03
Record the student's responses to the hearing test in the appropriate sections of the worksheet.
04
Indicate pass or fail for each ear based on the screening results.
05
Note any referrals or follow-up actions needed for students who did not pass.
06
Sign and date the worksheet at the bottom.
Who needs MN School Hearing Screening Worksheet?
01
All students in schools who are required to undergo hearing screening as part of health assessments.
02
Students who are new to the district or have previously identified hearing concerns.
03
Any student referred by teachers or parents due to concerns about hearing or communication.
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What is MN School Hearing Screening Worksheet?
The MN School Hearing Screening Worksheet is a document used to record and track hearing screenings conducted in schools across Minnesota. It is essential for ensuring that students' hearing health is monitored appropriately.
Who is required to file MN School Hearing Screening Worksheet?
Schools that conduct hearing screenings for students are required to file the MN School Hearing Screening Worksheet. This includes public and charter schools across Minnesota.
How to fill out MN School Hearing Screening Worksheet?
To fill out the MN School Hearing Screening Worksheet, follow the instructions provided with the form, which typically include entering student information, dates of screenings, results of tests, and any necessary follow-up actions.
What is the purpose of MN School Hearing Screening Worksheet?
The purpose of the MN School Hearing Screening Worksheet is to collect consistent and accurate data on students' hearing health, allowing schools and health officials to identify potential hearing issues early and provide appropriate interventions.
What information must be reported on MN School Hearing Screening Worksheet?
The information that must be reported on the MN School Hearing Screening Worksheet includes student names, grades, dates of screenings, results of hearing tests, and recommendations for further action if needed.
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