PDF
Word
Form DHCS6114 Newborn Hearing Screening Infant Reporting - California
What Is Form DHCS6114?
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 DHCS6114?
A: Form DHCS6114 is the newborn hearing screening infant reporting form used in California.
Q: What is the purpose of Form DHCS6114?
A: The purpose of Form DHCS6114 is to report the results of newborn hearing screenings in California.
Q: Who needs to complete Form DHCS6114?
A: Healthcare professionals who perform newborn hearing screenings in California need to complete Form DHCS6114.
Q: When should Form DHCS6114 be completed?
A: Form DHCS6114 should be completed immediately after performing a newborn hearing screening.
Q: Are there any fees associated with submitting Form DHCS6114?
A: No, there are no fees associated with submitting Form DHCS6114.
Q: What information is required on Form DHCS6114?
A: Form DHCS6114 requires information about the newborn, the healthcare facility, and the results of the hearing screening.
Q: Is there a deadline for submitting Form DHCS6114?
A: There is no specific deadline mentioned for submitting Form DHCS6114, but it should be completed as soon as possible after the hearing screening.
Form Details:
- Released on May 1, 2023;
- 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 DHCS6114 by clicking the link below or browse more documents and templates provided by the California Department of Health Care Services.
Download Form DHCS6114 Newborn Hearing Screening Infant Reporting - California
1
2
