Get Dd2217 Form

The Dd2217 Form is a critical document used to record biological and electroacoustic checks of audiometers. This guide provides you with step-by-step instructions for completing the form online in a clear and supportive manner.

Follow the steps to fill out the Dd2217 Form online.

1. Click ‘Get Form’ button to access the form and open it in the online editor.
2. In the 'Audiometer' section, provide details such as the manufacturer, model, and serial number of the audiometer. Enter the last electroacoustic calibration date using the format YYYYMMDD.
3. Next, proceed to the 'Listener' section. Enter the name of the individual being tested, including last name, first name, and middle initial. Also, specify the facility where the testing is taking place.
4. In the 'Dates and Data Review' section, complete the date for each biological calibration check. Enter the examiner's name who operated the audiometer.
5. Fill in the 'Calibration Check' fields by marking 'Pass' or 'Fail' based on the calibration check results. Use the provided criteria to determine which box to check.
6. In the 'Hearing Threshold Levels of Test Frequencies' section, enter the baseline levels and periodic calibration check results, ensuring to document each frequency threshold accurately.
7. Finally, in the 'Remarks' section, add any relevant comments regarding signal distortion or noise transients. Provide additional information about the audiometer's location and the testing environment.
8. Review all the provided information for accuracy. Once verified, save changes, download, print, or share the completed form as needed.

Complete your Dd2217 Form online today to ensure accurate recording of audiometer checks.