Form NHSP300-1 Region B California Newborn Hearing Screening Program Diagnostic Audiologic Evaluation Reporting Form - California

Form NHSP300-1 Region B California Newborn Hearing Screening Program Diagnostic Audiologic Evaluation Reporting Form - California

What Is Form NHSP300-1 Region B?

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 the NHSP300-1 Region B California Newborn Hearing Screening Program Diagnostic Audiologic Evaluation Reporting Form?
A: The NHSP300-1 Region B California Newborn Hearing Screening Program Diagnostic Audiologic Evaluation Reporting Form is a form used to report the results of a diagnostic audiologic evaluation for newborns in California.

Q: What is the purpose of the NHSP300-1 Form?
A: The purpose of the NHSP300-1 form is to track and report the results of diagnostic audiologic evaluations for newborns in California as part of the California Newborn Hearing Screening Program.

Q: Who uses the NHSP300-1 Form?
A: The NHSP300-1 form is used by healthcare professionals, audiologists, and other authorized individuals who perform diagnostic audiologic evaluations for newborns in California.

Q: What does the NHSP300-1 Form include?
A: The NHSP300-1 form includes information such as the patient's demographic information, audiologic evaluation results, recommendations for intervention or follow-up, and contact information for the reporting healthcare professional.

Q: Is the NHSP300-1 Form specific to California?
A: Yes, the NHSP300-1 form is specific to the California Newborn Hearing Screening Program and is used for reporting diagnostic audiologic evaluations in California only.

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Form Details:

  • Released on May 1, 2013;
  • 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 NHSP300-1 Region B by clicking the link below or browse more documents and templates provided by the California Department of Health Care Services.

Download Form NHSP300-1 Region B California Newborn Hearing Screening Program Diagnostic Audiologic Evaluation Reporting Form - California

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