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Get Tx Dshs Pure Tone Audiogram
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How to fill out the TX DSHS Pure Tone Audiogram online
The TX DSHS Pure Tone Audiogram is an essential document for assessing hearing thresholds. This guide will provide you with clear, step-by-step instructions on how to complete this form effectively online.
Follow the steps to accurately complete your audiogram form.
- Click ‘Get Form’ button to obtain the form and open it in the editor.
- Start by entering the examiner's number, the name of the examiner, and the date of the assessment at the top of the form.
- In the 'Frequency, HZ (CPS)' section, fill in the appropriate thresholds for frequencies ranging from 125 Hz to 8000 Hz for both the left and right ears. Ensure you refer to the audiogram key for guidance.
- Record the hearing threshold levels in decibels (dB) for each ear in the corresponding fields under 'AC Unmasked', 'AC Masked', 'BC Mastoid Unmasked', and so on.
- Indicate any responses that were not available by marking examples of 'No Response' symbols as detailed in the form.
- In the 'Pure Tone Average' section, calculate and input the average hearing threshold levels for both ears.
- Proceed to the 'Speech Audiometry' section and fill in the specified levels for SAT, SRT, MCL, and any corresponding masking levels for both ears.
- Complete the 'Type of Masking' field by detailing the specific masking used during the test.
- Answer the question regarding whether the test was performed in a stationary acoustical enclosure and provide further details if necessary.
- In the final sections, enter the room ambient noise level, sound level meter information, model and serial numbers, and calibration date as required.
- Once you have filled out all pertinent fields, review your entries for accuracy, then save changes. You may also download, print, or share the completed form as needed.
Complete your TX DSHS Pure Tone Audiogram online today for accurate hearing assessment.
A pure tone audiogram is a graphic representation of your hearing abilities across various frequencies. This test measures how well you can hear pure tones at different pitches, helping identify any hearing loss. The TX DSHS Pure Tone Audiogram is an important tool for both diagnosis and ongoing hearing assessment. By understanding your audiogram, you can take proactive steps to maintain or improve your hearing.
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