Newborn Hearing Screening Report and Referral Form - Early Hearing Detection and Intervention Program - New Mexico

Newborn Hearing Screening Report and Referral Form - Early Hearing Detection and Intervention Program - New Mexico

Newborn Hearing Screening Report and Referral Form - Early Hearing Detection and Intervention Program is a legal document that was released by the New Mexico Department of Health - a government authority operating within New Mexico.

FAQ

Q: What is the purpose of the Newborn Hearing Screening Report and Referral Form?
A: The form is used for early detection and intervention of hearing problems in newborns.

Q: Who is responsible for administering the Newborn Hearing Screening Program in New Mexico?
A: The Early Hearing Detection and Intervention Program is responsible for administering the program.

Q: What is the goal of the program?
A: The goal is to identify hearing loss in newborns before they leave the hospital.

Q: What information is included in the form?
A: The form includes information about the newborn's screening results, risk factors, and referrals for further testing if needed.

Q: Who completes the form?
A: The form is completed by hospital staff or other healthcare professionals.

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Form Details:

  • Released on May 1, 2022;
  • The latest edition currently provided by the New Mexico Department of Health;
  • 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 fillable version of the form by clicking the link below or browse more documents and templates provided by the New Mexico Department of Health.

Download Newborn Hearing Screening Report and Referral Form - Early Hearing Detection and Intervention Program - New Mexico

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