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How to fill out the Dpoae Reporting Form online
Filling out the Dpoae Reporting Form online is essential for accurately reporting newborn hearing screening results. This guide provides detailed, step-by-step instructions tailored for users of all experience levels.
Follow the steps to complete the Dpoae Reporting Form efficiently.
- Click the ‘Get Form’ button to obtain the Dpoae Reporting Form and open it in your preferred online editor.
- Begin by entering the screening details. Indicate the date of the screening in the designated field, and select the type of screening conducted, choosing between options such as ABR, DPOAE, or TEOAE from the provided checkboxes.
- Next, fill out the results section by marking the appropriate outcomes for both the right and left ears with the options: Pass, Refer, Not Done, or specifics such as 'Transferred out to another hospital' or 'Waived'. Make sure to check the necessary options based on the screening outcomes.
- For cases flagged as 'Refer' or 'Missed', complete the follow-up section with verified parent or legal guardian information. Update their primary language, race, and education as required.
- Document the infant’s full legal name, noting the appointment for any follow-up evaluations, and ensure that any referrals made are recorded with corresponding details.
- Finally, review all entered information for accuracy. Upon completion, save changes, and you may download, print, or share the form as necessary to ensure proper submission.
Start filling out the Dpoae Reporting Form online today to ensure timely and accurate submission of hearing screening results.
Related links form
OAE amplitudes are generally in the range of -10 dB SPL to +30 dB SPL in healthy functioning ears. Therefore, setting a minimum OAE level ensures that low-level artifact responses are not accepted as a true OAE response. Minimum OAE levels should not be set lower than device-specific system distortion levels.
Fill Dpoae Reporting Form
Click the "Download" button to view the "Form C: Tympanometry Otoacoustic Emission (OAE) Hearing Screening Form" resource. It should be noted OAE testing provides information about the status of the auditory system but does not indicate how a child makes use of auditory information. Always screen both ears, even if only one ear failed on the initial screen. 2. Click the "Download" button to view the "Form B: Otoacoustic Emission (OAE) Hearing Screening Referral Report" resource. Please complete all areas of the form and fax the completed form to ATTN: TEHDI Program. DPOAE-Distortion Product Otoacoustic Emission.
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