OAE Hearing Screening Form PDF - infanthearing: Fill out & sign online

Here's how it works

01. Edit your form online

Type text, add images, blackout confidential details, add comments, highlights and more.

02. Sign it in a few clicks

Draw your signature, type it, upload its image, or use your mobile device as a signature pad.

03. Share your form with others

Send it via email, link, or fax. You can also download it, export it or print it out.

How to use or fill out OAE Hearing Screening Form PDF - infanthearing with our platform

Ease of Setup

DocHub User Ratings on G2

Ease of Use

DocHub User Ratings on G2

Click ‘Get Form’ to open the OAE Hearing Screening Form in the editor.
Begin by entering the child's name, ID number, and date of birth in the designated fields at the top of the form.
Indicate the clinic and birth hospital information clearly. This helps in tracking and referencing.
Select the appropriate age range for periodic screening by checking the corresponding box.
Answer whether this is the first OAE hearing screening for this child at your clinic by selecting 'Yes' or 'No'. If 'Yes', provide additional details as required.
Fill out any relevant medical history regarding neonatal risk factors, family history of hearing loss, and parental concerns about hearing or speech.
Complete sections regarding past screenings, middle ear evaluations, and follow-up recommendations as necessary.

Start using our platform today to easily fill out your OAE Hearing Screening Form for free!

See more OAE Hearing Screening Form PDF - infanthearing versions

We've got more versions of the OAE Hearing Screening Form PDF - infanthearing form. Select the right OAE Hearing Screening Form PDF - infanthearing version from the list and start editing it straight away!

Versions	Form popularity	Fillable & printable
2013	4.3 Satisfied (30 Votes)

be ready to get more

Complete this form in 5 minutes or less

Get form

Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

Contact us

What is the 1/3/6 rule in infant hearing screening?

Recommended Early Hearing Detection and Intervention (EHDI) benchmarks include screening for hearing loss before 1 month of age, diagnostic evaluation before 3 months of age, and enrollment in early intervention before 6 months of age, known as the 1-3-6 benchmarks.

Are OAE tests used for newborns?

BACKGROUND AND OBJECTIVES: Otoacoustic emission (OAE) tests are currently used to screen newborns for congenital hearing loss in many Universal Newborn Hearing Screening programs.

What is the Jcih 1 2 3 rule?

States meeting the 136-month benchmarks should strive to meet a 123-month timeline, including hearing screening by 1 month of age, audiological diagnosis of any hearing loss by 2 months of age, and enrollment in early intervention by 3 months of age (JCIH, 2019). Newborn Hearing Screening - ASHA American Speech-Language-Hearing Association | ASHA professional-issues newborn-h American Speech-Language-Hearing Association | ASHA professional-issues newborn-h

What is the OAE hearing test for infants?

Otoacoustic emissions (OAE) tests whether some parts of the ear respond to sound. During this test, a soft earphone is inserted into your babys ear canal. It plays sounds and measures an echo response that occurs in ears with normal hearing. If there is no echo, your baby might have hearing loss.

What is the 1/2/3 rule of the Joint Committee on Infant hearing 2019 position statement?

To provide appropriate access to language stimulation and intervention services as soon as possible, EHDI programs meeting current targets might consider setting a new target of 1-2-3 months (screening completed by one month of age, audiologic diagnosis completed by two months of age, and early intervention initiated JCIH 2019 - NCHAM NCHAM nhstc docs NCHAM nhstc docs

Security and compliance

At DocHub, your data security is our priority. We follow HIPAA, SOC2, GDPR, and other standards, so you can work on your documents with confidence.

Learn more

How to be a newborn hearing screener?

There are no set entry requirements for newborn hearing screeners. Employers expect a good standard of numeracy and literacy and may ask for GCSEs or equivalent. They may ask for a nursery nursing or child-care related qualification, such as NNEB, BTEC or vocational qualification.

What is the 1 3 6 guideline for hearing loss in newborns?

Recommended Early Hearing Detection and Intervention (EHDI) benchmarks include screening for hearing loss before 1 month of age, diagnostic evaluation before 3 months of age, and enrollment in early intervention before 6 months of age, known as the 1-3-6 benchmarks. EHDI 1-3-6 Benchmarks | Hearing Loss in Children | CDC Centers for Disease Control and Prevention | CDC (.gov) hearing-loss-children articles Centers for Disease Control and Prevention | CDC (.gov) hearing-loss-children articles

OAE Hearing Screening Form PDF - infanthearing 2026

Here's how it works

How to use or fill out OAE Hearing Screening Form PDF - infanthearing with our platform