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Get Mi Hmc Audio Questionnaire 2017-2025
How it works
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Open form follow the instructions
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Easily sign the form with your finger
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Send filled & signed form or save
How to fill out the MI HMC Audio Questionnaire online
Filling out the MI HMC Audio Questionnaire online is a straightforward process that helps assess your auditory health. This guide provides clear, step-by-step instructions for each section of the form to ensure a smooth and accurate completion.
Follow the steps to successfully complete the audio questionnaire.
- Click ‘Get Form’ button to obtain the questionnaire and open it in an accessible editor.
- Begin by filling out the employee information section. Enter your full name, today's date, employer name, social security number, date of birth, and gender. Choose the option that applies to your situation.
- Indicate how many hours have passed since your last exposure to noise by selecting one of the options: less than 14 hours, more than 14 hours, or unknown.
- Specify whether you use hearing protection by selecting 'yes' or 'no'. If 'yes', indicate the type of protection you use, either plugs, muffs, or both, and how often you utilize them.
- Select your preferred testing language from the list provided. Ensure you choose the language that you are most comfortable with for understanding and responding.
- Review the medical history section and answer all the questions regarding recent experiences related to ear issues, ensuring you indicate right or left as applicable.
- Complete the follow-up medical history questions, answering all relevant questions regarding past medical conditions and experiences related to ear health.
- Sign the employee signature section to confirm the accuracy of your information and complete the form.
- Once you have filled out all sections, you may save changes, download, print, or share the completed questionnaire as needed.
Start filling out your MI HMC Audio Questionnaire online today!
MHS GENESIS will replace legacy healthcare systems including the Armed Forces Health Longitudinal Technology Application (AHLTA), Composite Health Care System (CHCS), and Essentris inpatient system.
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