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Department of Health Care Services Children s Medical Services Branch State of California Health and Human Services Agency DO NOT WRITE IN THIS SPACE APPLICATION FOR REGISTRATION AS SCHOOL AUDIOMETRIST Certificate number Date granted Reviewed by Accepted Not accepted PLEASE PRINT OR TYPE. Last name First name Mailing address Initial City State Birth date ZIP code Daytime phone EDUCATIONAL BACKGROUND Name of College or University Major Highest Degree Year Conferred APPROVED COURSES COMPLETED IN AUDIOLOGY AND AUDIOMETRY College or University Course Number Course Title s of Units Date Completed CURRENT STATUS OR EMPLOYMENT CHECK I am employed as a school nurse by district county. I am employed by the health department. I have a California credential in speech and hearing education of hard of hearing I am a student in area of. Other specify FOR DEPARTMENT USE ONLY Acknowledged APPLICANT S SIGNATURE X INSTRUCTIONS ON BACK PM 101 09/07 Page 1 of 2 Personnel employed to conduct hearing tests ....

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Subjective methods include: Pure Tone Audiometry (PTA)

Subjective audiometry tests hearing depending on the subject's subjective responses to various sound stimuli. Basic aspect of hearing is assessed by pure- tone audiometry, in which pure-tones with selected frequencies are presented at various intensities.

A probe is inserted into the ear and air is pumped through it to change the pressure within the ear as tones are produced. A microphone monitors how well sound is conducted within the ear under different pressures.

Objective audiometry measures electrical activity in the auditory pathway. It does not require a patient to participate. Subjective techniques test the patient's ability to hear words, frequencies or tones at differing volumes. The participant will need to respond to the stimuli for an accurate evaluation.

Hearing loss that goes undetected or untreated can lead to learning difficulties and social isolation. School hearing screening programs can provide early detection of hearing loss and interventions to reduce learning barriers.

Overview. Pure-tone audiometry is a behavioral test used to measure hearing sensitivity. This measure involves the peripheral and central auditory systems. Pure-tone thresholds (PTTs) indicate the softest sound audible to an individual at least 50% of the time.

Pure-tone audiometry is a subjective, behavioural measurement of a hearing threshold, as it relies on patient responses to pure tone stimuli. Therefore, pure-tone audiometry is only used on adults and children old enough to cooperate with the test procedure.

The HCP helps to identify hearing loss in preschoolers to 21 years of age in Public Schools, Child Health and Disability Prevention (CHDP) programs and other state supported programs.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
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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
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Privacy Notice
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 workflows
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