0 90 100 100 Middle Ear Pressure (mm 2H O) Static Compliance (cm3) TYMPANOGRAM L COMPLIANCE 10 10 9 8 7 6 5 4 3 2 1 0 TYMPANOGRAM R 10 9 8 7 6 5 4 3 2 1 0 10 9 8 7 6 5 4 3 2 1 0 -300 -200 -100 0 +100 +200 10 9 8 7 6 5 4 3 2 1 0 -300 -200 -100 0 +100 +200 AIR PRESSURE 110 AIR PRESSURE 110 250 MASK LEVEL RIGHT Tympanogram Type 0 HEARING THRESHOLD LEVEL IN dB 0 COMPLIANCE 125 -10 Frequency in Hertz (Hz) 500 1000 500 1000 2000 LEGEND 4000 LEFT BC Air Unmasked Air M.
Open form follow the instructions
Easily sign the form with your finger
Send filled & signed form or save
How to fill out the NAVMED 6260/6 online
Filling out the NAVMED 6260/6 form accurately is essential for documenting audiologic evaluations. This guide provides a clear, step-by-step approach to complete the form online, ensuring that you understand each component.
Follow the steps to complete the NAVMED 6260/6 form online effectively.
- Press the ‘Get Form’ button to access the NAVMED 6260/6 and open it in your online editor.
- Begin by filling in the patient's identification details, including last name, first name, middle initial, and social security number (SSAN). Make sure all information is accurate.
- Provide the patient's age, status (indicating whether they are active duty, reserved, dependent, or a civilian), and branch of service.
- Complete the ‘referred by’ section to indicate who referred the patient for the evaluation.
- Fill in the ‘hours since last noise exposure’ to ensure proper assessment of hearing.
- In the audiometric evaluation section, enter the hearing thresholds in decibels (dB) for the left and right ears across the specified frequencies.
- Document the tympanometric measurements, including middle ear pressure and static compliance, for both ears.
- Include audiometer details such as the make, model, and serial number, along with the calibration date.
- Sign and date the section for the examiner, including their name, title, and certification number.
- Once all fields are filled, review your entries for accuracy before saving or printing the form.
Complete your NAVMED 6260/6 form online today for a seamless audiologic evaluation process.
Experience a faster way to fill out and sign forms on the web. Access the most extensive library of templates available.
Related content
Oct 28, 2010 - NAVMED 6260/6 Report of Audiologic Evaluation. NAVMED 6260/7 Periodic...
Get answers to your most pressing questions about US Legal Forms API.
Where can I find Navy forms?
On the BUPERS/NAVPERSCOM official forms web page, you will find links to many federal government and Navy related forms used today including DD-214 and military personnel record requests.
What is the Navy Medicine campaign order?
The U.S. Navy Surgeon General has released Navy Medicine's 2023 campaign order. The order directs actions across the enterprise and with key stakeholders to ensure trained, equipped, certified, maintained, and sustained medical forces and units capable of supporting the Joint and Naval force.
What is the Navy Medicine Augmentation Program?
State the purpose of the Health Services Augmentation Program? The purpose of the program is to issue policy and procedure guidelines to active duty Navy Medical Department personnel who belong to an augment operational platform or unit during contingency or wartime situations.
What is the meaning of Bumed in the Navy?
The Navy Bureau of Medicine and Surgery (BUMED) is the headquarters for the Navy Medicine enterprise. Under the leadership the Navy surgeon general and chief, BUMED, Navy Medicine ensures Sailors, Marines and their families and retirees are healthy, ready and on the job – be it on land or sea.
What is Navmed 6150 4?
Abstract of Service and Medical History, NAVMED 6150/4. RECORD OF OCCUPATIONAL EXPOSURE TO IONIZING RADIATION (DD FORM 1141) This form is initiated when military personnel are first exposed to ionizing radiation (with the exception of patients incurring such radiation while undergoing diagnostic treatment).
What are the 4 Ps of Navy Medicine?
To advance these efforts, I issued Day One guidance to make our four priorities – People, Platforms, Performance and Power – known and our purpose very clear: Navy Medicine provides well-trained People, working as expeditionary medical experts on optimized Platforms operating as cohesive teams demonstrating high ...
What is an abstract of medical history?
A medical record abstract is an extraction of pertinent medical records related to patient care. Plaintiff attorneys often use abstracts as screening tools. These attorneys don't want to invest money to obtain a complete chart until they're sure that medical malpractice has occurred.
What is the goal of Navy Medicine?
Navy Medicine supports the warfighter, projecting medical power to enhance survivability of our forces, to sustain US Naval superiority. This is a Department of Defense (DoD) Internet computer system.
Use professional pre-built templates to fill in and sign documents online faster. Get access to thousands of forms.
If you believe that this page should be taken down, please follow our DMCA take down process here.