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The child hears all Put a "P" (pass) under the column marked "R" (right) if the child passes. three test tones in the right ear. Put a "F" (fail) under this column if the child Put the amount of negative pressure or flat if the child fails. Do the same does not hear all three test tones. Do the same for the left ear. for the left ear. Student Name Screening Date Pure Tones Tympanometry OAE R R L L L R R R L L L R R R L L L R R R L L L R R R L L L R R R.

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How to fill out the Hearing Screening Form online

Filling out the Hearing Screening Form online is a straightforward process designed to ensure accurate assessment of hearing capabilities. The form is used to record results from essential hearing screenings and is made available for ease of use.

Follow the steps to complete the Hearing Screening Form seamlessly.

  1. Use the ‘Get Form’ button to access and open the Hearing Screening Form in your chosen editing tool.
  2. Enter the student’s name in the designated field at the top of the form. Ensure that the name is spelled correctly for accurate records.
  3. Select the screening date by filling in the appropriate field. Use the format requested, usually MM/DD/YYYY.
  4. In the Pure Tones section, record responses for both right (R) and left (L) ears. Indicate a 'P' for pass if the child hears all three test tones, or an 'F' for fail if they do not.
  5. Proceed to the Tympanometry section and indicate the results similarly, noting any negative pressure amounts or flat responses as necessary.
  6. In the OAE section, record results for each ear using the same notation for pass and fail.
  7. Include any comments relevant to the screening in the Comments section, noting any referrals made as necessary.
  8. Once all fields are completed, review the form for accuracy. You can then save your changes, download the completed form, print a copy, or share it as needed.

Start filling out the Hearing Screening Form online today to ensure efficient processing of screening results.

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Document each frequency screened in a manner that indicates the decibel it was screened at and whether the result was a PASS or REFER. Use consistent notations with a key indicating which symbols or words denote PASS and REFER so that results are clear to caregivers/guardians and providers.

For example, take the term “hearing test;” when is a hearing test not a hearing test? The answer is when it's a hearing screening. A hearing screening is the most basic form of testing your ability to hear. A hearing screening is generally a preliminary test to see if more in-depth testing needs to be done.

You'll be shown a graph that indicates your level of hearing sensitivity with frequencies (also called pitch) in Hertz along the top of the graph, and sound levels in decibels along the left side of the graph. Typically, audiograms test frequencies between 250Hz and 8,000 Hz.

Audiometer tests. During these more-thorough tests conducted by an audiologist, you wear earphones and hear sounds and words directed to each ear. Each tone is repeated at faint levels to find the quietest sound you can hear.

Earphones will be placed on your head. You will be asked to sit still and not talk. The earphones are connected to a machine that will deliver the tones and different sounds of speech to your ears, one ear at a time. The audiologist will ask you to raise your hand when you hear a sound.

Hearing tests check a person's ability to hear the loudness and pitch of sounds. The results are charted on a graph (audiogram) to help pinpoint the severity and causes of hearing problems. Tests include pure tone audiometry, using an audiometer, and speech discrimination tests.

Document each frequency screened in a manner that indicates the decibel it was screened at and whether the result was a PASS or REFER. Use consistent notations with a key indicating which symbols or words denote PASS and REFER so that results are clear to caregivers/guardians and providers.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232