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School District Name Here HEARING SCREENING PARENT/GUARDIAN NOTIFICATION RESULTS AND REFERRAL Student Name: ___ DOB: ___/___/___ Date: ___ Address: ___ School Name: ___ School Phone: ___ Dear Parent/Guardian:
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How to fill out hearing screening parentguardian notification

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How to fill out hearing screening parentguardian notification

01
Read the instructions provided with the notification form.
02
Fill out the child's personal information such as name, date of birth, and school.
03
Sign and date the form to attest that the information provided is accurate.

Who needs hearing screening parentguardian notification?

01
Parents or legal guardians of children who are required to undergo a hearing screening.

What is Hearing Screening Parent/Guardian Notification Results ... Form?

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Hearing screening parent/guardian notification is a form or notification sent to parents or guardians informing them about the hearing screening requirements for their child.
Schools or healthcare providers are required to file hearing screening parent/guardian notification.
The form can be filled out electronically or by hand, providing the necessary information about the child's hearing screening.
The purpose of hearing screening parent/guardian notification is to inform parents or guardians about the hearing screening requirements for their child and ensure compliance with regulations.
The hearing screening parent/guardian notification must include the child's name, date of birth, screening date, results, and any follow-up recommendations.
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