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Get Mn School Hearing Screening Worksheet 2018-2025
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How to fill out the MN School Hearing Screening Worksheet online
Filling out the MN School Hearing Screening Worksheet is an important step in assessing the hearing health of students. This guide provides a clear and user-friendly approach to complete the form online, ensuring accurate information is captured for effective hearing screenings.
Follow the steps to fill out the MN School Hearing Screening Worksheet online.
- Click the ‘Get Form’ button to obtain the MN School Hearing Screening Worksheet and open it for editing.
- Begin by entering the child’s name and date of birth in the designated fields. This ensures the form is personalized and linked to the right individual.
- Fill in the teacher’s name and grade, which provide context for the screening session. These details can help track the child’s progress academically and hearing healthwise.
- Record the screening date and rescreen date in the specified sections. This information helps to monitor the timelines for auditory assessments.
- Address any parent, teacher, or child concerns about hearing in the provided space. This section is vital for noting specific issues that may need attention during the screening.
- Conduct a visual inspection of the child’s hearing health. Document the external inspection and internal inspection/otoscopy results as appropriate.
- Input the results of pure tone audiometry tests for both the right and left ear across various frequencies (500 Hz, 1000 Hz, 2000 Hz, 4000 Hz, and 6000 Hz). Indicate whether the initial screen and rescreen results are 'PASS' or 'REFER' as applicable.
- If tympanometry was performed, document the results in the optional section provided, noting the outcomes for initial and any subsequent screenings.
- Once all necessary fields are completed, review the information for accuracy. Then, save your changes. You will have the option to download, print, or share the finalized form.
Complete the MN School Hearing Screening Worksheet online today to ensure a thorough and efficient hearing health assessment.
Your test results will be displayed on a graph called an audiogram that shows the softest sounds you can hear at their individual pitches or frequencies. The vertical axis (up and down line) shows the volume of the sounds. The horizontal axis (the line that goes across) represents the pitch or frequency of the sound.
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