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This form is used for reporting the follow-up results of hearing screenings as part of the Early Hearing Detection and Intervention program in Illinois.
This form is used for requesting a waiver for hearing screening in California.
This Form is used for conducting hearing rescreening in Illinois. It helps track the results and progress of the screening process.
This Form is used for conducting hearing screenings in Illinois.
This document is a form used in New Jersey for reporting the results of a hearing screening.
This Form is used for obtaining consent from students in Yukon, Canada for hearing screening.
This Form is used for obtaining parental or legal guardian consent for a hearing screening test for students in Yukon, Canada. It is in French language.
This form is used for conducting hearing screenings in the state of New Mexico.
This Form is used for reporting health information in South Dakota.
This form is used for reporting the results of newborn hearing screenings in the state of New Jersey. It is required to ensure that infants receive the necessary follow-up care if they do not pass the initial hearing screening.
This document provides a checklist for parents in Texas to ensure their child's hearing is being properly assessed and monitored. It covers important aspects regarding hearing health and helps parents track their child's progress.
This Form is used for tracking hearing screenings in Arizona.
This form is used for the initial screening of hearing in infants in the state of Arkansas.
This form is used for referring newborns for hearing screening in the state of New Mexico.
This document is used for reporting and making referrals for newborn hearing screenings in New Mexico.
This document provides guidelines on how to complete the Form 3300 used in Georgia, United States for screening and recording data on a child's vision, hearing, dental, and nutritional health status. It's utilized by healthcare professionals who conduct these routine screenings in schools and clinics.