Get Hearing Screening Report Example

Completing the Hearing Screening Report Example online is a straightforward process that ensures accurate documentation of a child's hearing health. This guide will provide you with step-by-step instructions to fill out each section of the form efficiently and effectively.

Follow the steps to successfully complete the hearing screening report.

1. Click ‘Get Form’ button to access the hearing screening report and open it in an editable format.
2. Begin by entering the child's name and date of birth in the designated fields at the top of the form. This information is essential for proper identification and record-keeping.
3. Indicate the HS class or EHS home visitor in the appropriate section to provide relevant context for the screening.
4. Complete the AuDX OAE test frequency section. For both the right and left ear, mark the results for each frequency tested: 2000 KHz, 3000 KHz, 4000 KHz, and 5000 KHz.
5. In the results section, choose the appropriate option: 'Passed Hearing Screening,' 'Unable to Test,' 'Rescreen,' 'Refer to a Physician,' or 'Refuse Test.' Make sure to provide any necessary comments explaining the results if applicable.
6. If a referral is given, either verbally or in written form, check the corresponding box to ensure proper follow-up.
7. At the bottom of the form, include your name as the administrator of the test along with the date of the administration.
8. Once all fields are completed, review the form for accuracy and make any necessary corrections. Finally, save your changes, and choose to download, print, or share the completed form as required.

Start filling out your hearing screening report online today to ensure accurate health documentation.