Get To Download A Sample Of The Audiology Report Page 2 - Hearform

Filling out the To Download A Sample Of The Audiology Report Page 2 - HearForm online is a straightforward process that ensures accurate representation of audiological evaluations. This guide will provide you with step-by-step instructions to assist you in completing the form efficiently.

Follow the steps to successfully complete the form online.

1. Click the ‘Get Form’ button to access the form and open it in your preferred editor.
2. Begin by entering the patient’s personal information. Include the birthdate and name clearly in the designated fields.
3. Fill in the evaluation date in the specified area to document when the audiological assessment took place.
4. Complete the frequency levels in Hertz (Hz) as per the results interpreted during the hearing test. Make sure to accurately fill out the hearing level in decibels (dB HL) for each frequency.
5. Indicate ear color codes: red for the right ear and blue for the left ear. Check the appropriate boxes next to each symbol.
6. Review the abbreviations section and ensure you understand the terms being used. Fill in any relevant information regarding the patient's acoustic reflex and speech audiometry results.
7. Ensure to include reliability ratings of the test conditions, labeling each ear's results accurately.
8. Provide details under 'Copies of this Audiology Report' section, including the names and roles of those receiving the report and the name of the parent or guardian authorizing the release.
9. Finish by filling in the licensed audiologist's information at the bottom, including their name and license number.
10. Once all required fields are accurately filled out, you can save your changes, download the report, print it, or share it as needed.

Start filling out your form online for a streamlined and efficient experience.