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Get Hearing Screening Form
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How to fill out the Hearing Screening Form online
Completing the Hearing Screening Form online is a straightforward process that ensures accurate assessment of hearing capabilities. Follow this guide to efficiently navigate through each section of the form, providing the necessary information with ease.
Follow the steps to complete the Hearing Screening Form online.
- Press the ‘Get Form’ button to access the Hearing Screening Form and open it for editing.
- Begin by entering the student’s name in the designated field to identify the individual undergoing the hearing screening.
- Input the date of the screening in the appropriate section to document when the assessment took place.
- Specify the name of the examiner responsible for conducting the hearing screening, ensuring proper accountability.
- Include the core or teacher's name related to the student to provide context for the screening.
- Refer to the note regarding passing thresholds: indicate the decibel levels recorded at 500 Hz, 1000 Hz, 2000 Hz, and 4000 Hz for both right and left ears in the corresponding fields.
- Evaluate whether the student passed the screening and select 'Yes' or 'No' in the indicated area.
- If the student did not pass the initial screening, note whether they were re-tested on a different day; respond with 'Yes' or 'No' accordingly.
- If the student was re-tested, document the date of this re-screening in the space provided.
- Finally, indicate the outcome of the re-screening, specifying whether the student passed or failed.
- After filling out all fields, review the form for accuracy, then save your changes, and choose to download, print, or share the completed document as needed.
Start filling out your Hearing Screening Form online today to ensure your assessment is recorded accurately.
Results of Testing:PASS: child must respond to each test frequency consistently at 20 dB HL in each ear. REFER: child does not respond at 20 dB HL at any one test frequency in either ear *
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