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Utah Newborn Hearing Screening & Cchd Weekly Reporting Form - Utah
Utah Newborn Hearing Screening & Cchd Weekly Reporting Form is a legal document that was released by the Utah Department of Health and Human Services - a government authority operating within Utah.
FAQ
Q: What is the purpose of the Utah Newborn Hearing Screening & CCHD Weekly Reporting Form?
A: The form is used to report the results of newborn hearing screenings and critical congenital heart disease (CCHD) screenings in Utah.
Q: Who is required to complete the form?
A: Healthcare professionals responsible for conducting newborn hearing screenings and CCHD screenings in Utah are required to complete the form.
Q: What is the deadline for submitting the form?
A: The form must be submitted weekly, no later than 5 p.m. on the following Monday.
Q: What information is required on the form?
A: The form requires information such as the facility name, screening dates, number of screenings done, number of referrals made, and other screening-related data.
Q: Is the form only for reporting newborn hearing screenings?
A: No, the form is also used to report critical congenital heart disease (CCHD) screenings.
Q: What happens if the form is not submitted on time?
A: Failure to submit the form on time may result in non-compliance with Utah's newborn screeningprogram requirements.
Form Details:
- Released on February 5, 2020;
- The latest edition currently provided by the Utah Department of Health and Human Services;
- Ready to use and print;
- Easy to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a printable version of the form by clicking the link below or browse more documents and templates provided by the Utah Department of Health and Human Services.
