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  • Ms Gulfport School District Hearing/vision Screening Report 2015

Get Ms Gulfport School District Hearing/vision Screening Report 2015-2026

SMENT A. HEARING SCREENING Instrument: st 1 Screening L Ear 1000 Hz / 25 dB R Ear L Ear 2000 Hz / 25 dB R Ear L Ear 4000 Hz / 25 dB R Ear Optional: L Ear R Ear PASS Hearing FAIL EXAMINER DATE B. VISION SCREENING Instrument: nd 2 Screening L Ear R Ear L Ear R Ear L Ear R Ear L Ear R Ear PASS FAIL st 1 Screening YES Screened wearing glasses? NO PASS Near Vision (Both Eyes) FAIL / Far Vision Left Eye Right Eye / Both Eyes / PASS FAIL nd 2 Screening YES NO PASS FAIL / / / PASS FAIL EXAMINER D.

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How to fill out the MS Gulfport School District Hearing/Vision Screening Report online

The MS Gulfport School District Hearing/Vision Screening Report is a vital document used to assess a child's hearing and vision capabilities. This guide offers clear steps on how to complete the report online for a seamless experience.

Follow the steps to successfully fill out the screening report.

  1. Press the ‘Get Form’ button to access the document and open it in the editor.
  2. Enter the child’s personal data in the designated fields, including their name, race/ethnicity, district/school, MSIS number, gender, date of birth, grade, and age.
  3. Proceed to Part I – Instrumental Assessment. In the Hearing Screening section, specify the instrument used and fill out the screening details for both left and right ears at the specified frequencies. Indicate whether the child passed or failed the hearing test.
  4. Continue with the Vision Screening section under Part I. Note the instrument used, then fill in the necessary details for near and far vision for both eyes. Also indicate if the child was screened with glasses and whether they passed or failed the vision test.
  5. Move to Part II – Functional Assessment. For hearing, respond to each question with 'yes' or 'no' based on your understanding of the child’s abilities. Provide an assessment by checking the appropriate box.
  6. For the vision assessment, similarly respond with 'yes' or 'no' to each question regarding the child’s visual behaviors.
  7. In the final section, describe any additional behaviors related to hearing and vision that should be taken into consideration for assessment and educational programming.
  8. After completing all sections, save the changes, then download, print, or share the form as needed.

Complete the MS Gulfport School District Hearing/Vision Screening Report online today for a thorough assessment of your child's needs.

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