We use cookies to improve security, personalize the user experience, enhance our marketing activities (including cooperating with our marketing partners) and for other business use.
Click "here" to read our Cookie Policy. By clicking "Accept" you agree to the use of cookies. Read less
Read more
Accept
Loading
Form preview
  • US Legal Forms
  • Form Library
  • More Forms
  • More Uncategorized Forms
  • Hearing Screening Report Example

Get Hearing Screening Report Example

Hoosier Uplands Childrens Services Hearing Screening Report Form Childs name: DOB: HS Class/EHS HV: AuDX OAE Test Frequency Right Ear Left Ear 2000KHz Screening Date: 3000 KHz 4000 KHz 5000 KHz Passed.

How it works

  1. Open form

    Open form follow the instructions

  2. Easily sign form

    Easily sign the form with your finger

  3. Share form

    Send filled & signed form or save

Tips on how to fill out, edit and sign Hearing Screening Report Example online

How to fill out and sign Hearing Screening Report Example online?

Get your online template and fill it in using progressive features. Enjoy smart fillable fields and interactivity. Follow the simple instructions below:

Finding a authorized professional, creating a scheduled appointment and going to the business office for a personal meeting makes finishing a Hearing Screening Report Example from start to finish exhausting. US Legal Forms enables you to quickly generate legally-compliant documents according to pre-constructed browser-based templates.

Perform your docs in minutes using our easy step-by-step guide:

  1. Find the Hearing Screening Report Example you want.
  2. Open it up with cloud-based editor and begin adjusting.
  3. Complete the blank fields; engaged parties names, places of residence and phone numbers etc.
  4. Customize the blanks with exclusive fillable fields.
  5. Include the day/time and place your electronic signature.
  6. Click Done following twice-checking everything.
  7. Download the ready-produced record to your system or print it out like a hard copy.

Easily produce a Hearing Screening Report Example without having to involve professionals. There are already more than 3 million people taking advantage of our rich collection of legal forms. Join us right now and gain access to the #1 catalogue of online templates. Try it out yourself!

How to edit Hearing Screening Report Example: customize forms online

Sign and share Hearing Screening Report Example together with any other business and personal documentation online without wasting time and resources on printing and postal delivery. Take the most out of our online form editor with a built-in compliant eSignature tool.

Signing and submitting Hearing Screening Report Example templates electronically is quicker and more productive than managing them on paper. However, it requires utilizing online solutions that ensure a high level of data safety and provide you with a certified tool for generating eSignatures. Our powerful online editor is just the one you need to complete your Hearing Screening Report Example and other individual and business or tax templates in an accurate and appropriate manner in accordance with all the requirements. It features all the essential tools to easily and quickly fill out, edit, and sign paperwork online and add Signature fields for other parties, specifying who and where should sign.

It takes only a few simple actions to fill out and sign Hearing Screening Report Example online:

  1. Open the selected file for further processing.
  2. Make use of the top toolkit to add Text, Initials, Image, Check, and Cross marks to your template.
  3. Underline the most significant details and blackout or remove the sensitive ones if required.
  4. Click on the Sign tool above and decide on how you prefer to eSign your sample.
  5. Draw your signature, type it, upload its image, or use another option that suits you.
  6. Switch to the Edit Fillable Fileds panel and drop Signature areas for others.
  7. Click on Add Signer and provide your recipient’s email to assign this field to them.
  8. Verify that all data provided is complete and correct before you click Done.
  9. Share your document with others utilizing one of the available options.

When signing Hearing Screening Report Example with our robust online solution, you can always be certain you get it legally binding and court-admissible. Prepare and submit paperwork in the most effective way possible!

Get form

Experience a faster way to fill out and sign forms on the web. Access the most extensive library of templates available.
Get form

Related content

Hearing Screening Report - Mississippi State...
The child passed the hearing screening in both ears but has one or more risk factors for...
Learn more
Criteria for Hearing Screening Audiometric...
May need to reschedule for audiologic evaluation. Page 2. SAMPLE REPORTING OF SCREENING...
Learn more
Ear - Wikipedia
The ear is the organ of hearing and, in mammals, balance. In mammals, the ear is usually...
Learn more

Related links form

DoC CD-126 2020 Returning The Form (Ibf) - Service Canada PPP Application Forms Released - Journal Of Accountancy Amica Mutual Insurance 9522 2012

Questions & Answers

Get answers to your most pressing questions about US Legal Forms API.

Contact support

Document each frequency screened in a manner that indicates the decibel it was screened at and whether the result was a PASS or REFER. Use consistent notations with a key indicating which symbols or words denote PASS and REFER so that results are clear to caregivers/guardians and providers.

You'll be shown a graph that indicates your level of hearing sensitivity with frequencies (also called pitch) in Hertz along the top of the graph, and sound levels in decibels along the left side of the graph. Typically, audiograms test frequencies between 250Hz and 8,000 Hz.

Earphones will be placed on your head. You will be asked to sit still and not talk. The earphones are connected to a machine that will deliver the tones and different sounds of speech to your ears, one ear at a time. The audiologist will ask you to raise your hand when you hear a sound.

An adult is classified as having normal hearing ability if their responses indicate they heard noises between 0 and 25 dB across the frequency range. A child is considered to have hearing ability within normal limits if their responses are between 0 to 15 dB across the frequency range.

Hearing tests check a person's ability to hear the loudness and pitch of sounds. The results are charted on a graph (audiogram) to help pinpoint the severity and causes of hearing problems. Tests include pure tone audiometry, using an audiometer, and speech discrimination tests.

Document each frequency screened in a manner that indicates the decibel it was screened at and whether the result was a PASS or REFER. Use consistent notations with a key indicating which symbols or words denote PASS and REFER so that results are clear to caregivers/guardians and providers.

The results of the hearing test are an indication for the degrees of hearing loss: Normal hearing: -10 to 20 dB. Mild hearing loss: 20 to 40 dB higher than normal. Moderate hearing loss: 40 to 70 dB higher than normal. Severe hearing loss: 70 to 90 dB higher than normal. Profound loss: 90 dB or more.

Get This Form Now!

Use professional pre-built templates to fill in and sign documents online faster. Get access to thousands of forms.
Get form
If you believe that this page should be taken down, please follow our DMCA take down processhere.

Industry-leading security and compliance

US Legal Forms protects your data by complying with industry-specific security standards.
  • In businnes since 1997
    25+ years providing professional legal documents.
  • Accredited business
    Guarantees that a business meets BBB accreditation standards in the US and Canada.
  • Secured by Braintree
    Validated Level 1 PCI DSS compliant payment gateway that accepts most major credit and debit card brands from across the globe.
Get Hearing Screening Report Example
Get form
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
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
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:
1-877-389-0141
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
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
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
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:
1-877-389-0141
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