Get 39986.pdf. School Hearing Screening Report

The 39986.PDF. SCHOOL HEARING SCREENING REPORT is an essential document used to record the hearing screening results of students. This guide provides step-by-step instructions for completing the form online, ensuring that all pertinent information is accurately captured.

Follow the steps to complete your hearing screening report effectively.

1. Press the ‘Get Form’ button to access the document and open it in your editing interface.
2. Begin filling out the form by entering the school name in the designated field.
3. Input the school year corresponding to this report in the provided section.
4. Complete the school corporation field with the relevant local education authority information.
5. Enter the name of the person responsible for completing this report.
6. Fill in the county where the school is located.
7. Input the title of the person completing the report to identify their role.
8. Provide the city where the school resides.
9. Include the telephone number of the person filling out the form, ensuring to format it appropriately.
10. In Column 1, record the total number of students screened, ensuring to follow the specific guidelines for each grade category.
11. In Column 2, document the number of students who had positive findings as a result of the screening.
12. Complete Column 3 by noting how many students referred for treatment are currently receiving it.
13. For Column 4, record how many students were examined by a physician but did not require treatment.
14. In Column 5, enter the number of referrals that are not yet completed, indicating those who have yet to see a physician.
15. Once all sections are filled out, review your entries for accuracy before saving your changes.
16. Finally, download or print the report for submission and ensure it is sent to the Indiana State Department of Health by the stipulated deadline.

Complete your 39986.PDF. SCHOOL HEARING SCREENING REPORT online today to ensure accurate records and timely submissions.