Get Dshs Pure Tone Audiogram Human

Completing the Dshs Pure Tone Audiogram Human is essential for documenting hearing assessments. This guide will walk you through each section of the form, ensuring you understand how to accurately fill it out online.

Follow the steps to successfully complete the audiogram online.

1. Press the ‘Get Form’ button to access the audiogram form and open it in your preferred editor.
2. Fill in the examiner’s number, examiner's name, and date of the assessment in the designated fields.
3. Indicate whether the test was performed in a stationary acoustical enclosure by selecting 'Yes' or 'No'. If you select 'No', provide additional details in the space provided.
4. Document the room's ambient noise level in decibels (dBA) in the appropriate area.
5. Complete the bone and air conduction sections for both left and right ears, ensuring to record the sound level meter details, model, serial number, and calibration date.
6. Record any responses to pure tone audiometry using the appropriate symbols provided in the section for responses.
7. Enter frequency measures for both ears on the audiogram key and document the hearing threshold levels in decibels.
8. Complete the speech audiometry section for both the right and left sound fields, indicating the levels and percentages for discrimination.
9. Make sure to fill in any necessary masking levels for both the left and right inputs.
10. Once all fields are completed and verified, save your changes, and consider downloading, printing, or sharing the filled form as needed.

Complete your Dshs Pure Tone Audiogram Human online today for accurate hearing assessments.