Form IOCI14-342 Early Hearing Detection and Intervention (Ehdi) Physician Follow-Up Report - Illinois

Form IOCI14-342 Early Hearing Detection and Intervention (Ehdi) Physician Follow-Up Report - Illinois

What Is Form IOCI14-342?

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

FAQ

Q: What is the IOCI14-342 Early Hearing Detection and Intervention (Ehdi) Physician Follow-Up Report?
A: It is a report used in Illinois for follow-up on early hearing detection and intervention.

Q: What is the purpose of the report?
A: The purpose of the report is to ensure that infants who did not pass the hearing screening receive appropriate follow-up care.

Q: Who fills out the report?
A: The report is typically filled out by the physician who performed the follow-up evaluation on the infant.

Q: What information is required in the report?
A: The report requires information about the infant's demographic details, hearing screening results, and the follow-up evaluation findings.

Q: Is the report specific to Illinois?
A: Yes, the report is specific to Illinois and is used to track the status of early hearing detection and intervention in the state.

Q: Are there any deadlines for submitting the report?
A: Yes, the report must be submitted within 14 days of completing the follow-up evaluation.

ADVERTISEMENT

Form Details:

  • Released on January 1, 2015;
  • The latest edition provided by the Illinois Department of Public Health;
  • 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 IOCI14-342 by clicking the link below or browse more documents and templates provided by the Illinois Department of Public Health.

Download Form IOCI14-342 Early Hearing Detection and Intervention (Ehdi) Physician Follow-Up Report - Illinois

4.5 of 5 (72 votes)
  • Form IOCI14-342 Early Hearing Detection and Intervention (Ehdi) Physician Follow-Up Report - Illinois, Page 1
ADVERTISEMENT