Form NHSP200-1 Outpatient Screening Reporting Form - Region D - California Newborn Hearing Screening Program - California

Form NHSP200-1 Outpatient Screening Reporting Form - Region D - California Newborn Hearing Screening Program - California

What Is Form NHSP200-1?

This is a legal form that was released by the California Department of Health Care Services - a government authority operating within California. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form NHSP200-1?
A: Form NHSP200-1 is the Outpatient Screening Reporting Form for the California Newborn Hearing Screening Program (NHSP) in Region D.

Q: What is the purpose of Form NHSP200-1?
A: The purpose of Form NHSP200-1 is to report outpatient hearing screenings for newborns in Region D of the California NHSP.

Q: Who uses Form NHSP200-1?
A: Form NHSP200-1 is used by healthcare practitioners and facilities conducting outpatient hearing screenings in Region D of the California NHSP.

Q: What is the California Newborn Hearing Screening Program (NHSP)?
A: The California Newborn Hearing Screening Program (NHSP) is a program aimed at identifying hearing loss in newborns and ensuring appropriate interventions.

Q: What is Region D of the California NHSP?
A: Region D is a specific geographical region in California that is covered by the California Newborn Hearing Screening Program (NHSP). It includes certain counties or areas within the state.

Q: What information is collected on Form NHSP200-1?
A: Form NHSP200-1 collects information about the newborn and the hearing screening, including demographics, screening results, and follow-up actions.

Q: Is Form NHSP200-1 mandatory?
A: Yes, Form NHSP200-1 is mandatory for healthcare practitioners and facilities conducting outpatient hearing screenings in Region D of the California NHSP.

Q: Can I submit Form NHSP200-1 electronically?
A: The availability of electronic submission options for Form NHSP200-1 may vary. Please contact the California Newborn Hearing Screening Program (NHSP) for more information.

Q: Are there any fees associated with submitting Form NHSP200-1?
A: There are no specific fees mentioned for submitting Form NHSP200-1. However, there may be costs associated with the overall services provided by the California Newborn Hearing Screening Program (NHSP).

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Form Details:

  • Released on July 1, 2015;
  • The latest edition provided by the California Department of Health Care Services;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form NHSP200-1 by clicking the link below or browse more documents and templates provided by the California Department of Health Care Services.

Download Form NHSP200-1 Outpatient Screening Reporting Form - Region D - California Newborn Hearing Screening Program - California

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