Loading
Get Oae Hearing Screening Form Pdf - Infanthearing
How it works
-
Open form follow the instructions
-
Easily sign the form with your finger
-
Send filled & signed form or save
How to fill out the OAE Hearing Screening Form PDF - Infanthearing online
This guide provides a step-by-step approach to completing the OAE Hearing Screening Form PDF - Infanthearing online. By following these instructions, users can ensure accurate and efficient documentation of hearing screening for infants.
Follow the steps to successfully complete the OAE Hearing Screening Form.
- Click the ‘Get Form’ button to obtain the OAE Hearing Screening Form PDF - Infanthearing and open it in your preferred editing tool.
- Begin by entering the child's name, ID number, and date of birth in the designated fields at the top of the form.
- Indicate the clinic name and birth hospital in the appropriate sections. Ensure this information is accurate for proper record keeping.
- Mark the child’s age in days or months, selecting the relevant option that applies.
- Indicate whether this is the first OAE hearing screening conducted for this child in the clinic. Select 'Yes' or 'No' and provide additional details if necessary.
- List any neonatal risk factors or complications by selecting the relevant options or providing specifics if applicable.
- Record any family history of early hearing loss, and document if the parent or caregiver has concerns about the child’s hearing or speech.
- Note if the child has experienced head trauma or recurrent ear infections, selecting 'Yes' or 'No' accordingly.
- If applicable, indicate whether the child has Pressure Equalization (PE) tubes placed.
- Complete the scheduling section for any follow-up recommendations, making sure to set a target date for follow-up screenings or assessments.
- Finish by signing and dating the form in the specified section for the screener.
- Review all entered information for accuracy before saving changes, and then download, print, or share the form as needed.
Complete the OAE Hearing Screening Form online today for efficient record management.
The OAE (Otoacoustic Emissions) test checks part of the inner ear's response to sound. The test is mostly done on infants and children who may not be able to respond to behavioral hearing tests because of their age.
Industry-leading security and compliance
US Legal Forms protects your data by complying with industry-specific security standards.
-
In businnes since 199725+ years providing professional legal documents.
-
Accredited businessGuarantees that a business meets BBB accreditation standards in the US and Canada.
-
Secured by BraintreeValidated Level 1 PCI DSS compliant payment gateway that accepts most major credit and debit card brands from across the globe.