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.
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.
Form Details:
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.