Home
Forms Library
Hearing screening form

Hearing screening form 2025

hearing screening form Preview on Page 1

Show details

4 out of 5

47 votes

The document is a Pure Tone Hearing Screening Form used by Oak Hill Academy to assess students' hearing abilities. It includes sections for recording the student's name, date, examiner, and core/teacher, as well as thresholds for passing at various frequencies. The form also tracks whether the student passed or failed the initial screening and any subsequent re-testing.

Here's how it works

01. Edit your hearing screening 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 hearing screening form via email, link, or fax. You can also download it, export it or print it out.

How to modify Hearing screening form online

Ease of Setup

DocHub User Ratings on G2

Ease of Use

DocHub User Ratings on G2

With DocHub, making changes to your paperwork takes just a few simple clicks. Follow these fast steps to modify the PDF Hearing screening form online for free:

Sign up and log in to your account. Log in to the editor using your credentials or click on Create free account to evaluate the tool’s capabilities.
Add the Hearing screening form for redacting. Click the New Document button above, then drag and drop the file to the upload area, import it from the cloud, or via a link.
Change your document. Make any changes needed: insert text and images to your Hearing screening form, highlight details that matter, erase parts of content and replace them with new ones, and add symbols, checkmarks, and fields for filling out.
Complete redacting the template. Save the modified document on your device, export it to the cloud, print it right from the editor, or share it with all the parties involved.

Our editor is very easy to use and efficient. Give it a try now!

See more hearing screening form versions

We've got more versions of the hearing screening form form. Select the right hearing screening form version from the list and start editing it straight away!

Versions	Form popularity	Fillable & printable
2012	4 Satisfied (47 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.

How do you document a hearing screening?

For each ear, note the results of the pure tone hearing screening and tympanometry (if performed). Document each frequency screened in a manner that indicates the decibel it was screened at and whether the result was a PASS or REFER.

What is the 1 3 6 rule in audiology?

Its pretty easy to remember - One -screen for hearing loss before one month of age. Three - diagnose hearing loss before three months of age and six - enroll a child in early intervention programs before six months of age. Jordan: Pretty easy to remember - 1, 3, 6!

What is the 1 3 6 rule for 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.

How do I fill out a hearing test form?

Fill in the patients personal information such as name, age, and contact details at the top of the form. Indicate the date of the screening on the designated line. Provide information regarding the patients medical history, particularly any previous hearing issues.

How do you get hearing screening?

Children get screenings at school or at the doctors office. Adults can go to the doctor or local health fairs for a screening. You should ask your doctor for a hearing screening if you have concerns about your or your childs hearing. An audiologist can give you a more complete hearing test if you fail the screening.

hearing screening form pdf

Hearing screening Form for school Hearing Screening Form PDF SLP hearing screening form Printable hearing Screening Form Hearing screening Form child Pure tone hearing Screening form Vision and hearing screening Form OAE Hearing Screening Form

Related forms

be ready to get more

Complete this form in 5 minutes or less

Get form

What is the 60 60 rule for hearing loss?

The idea behind the 60-60 rule is to only turn your music to 60 percent of its total volume level and listen to it for no more than 60 minutes per day. Noise-canceling headphones can be safer than earbuds because they reduce exterior sounds that may cause you to turn up the volume past safe levels.

What are the guidelines for hearing screening?

All newborns should undergo hearing loss screening within their first month of life. Throughout childhood, the AAP recommends audiometry screening at ages 4, 5, 6, 8, and 10. During adolescence, the audiometry tests are recommended 3 times from ages 11 to 14, 15 to 17, and 18 to 21 years.

Hearing screening form 2025

Here's how it works

How to modify Hearing screening form online

See more hearing screening form versions

Complete this form in 5 minutes or less

Got questions?

How do you document a hearing screening?

What is the 1 3 6 rule in audiology?

What is the 1 3 6 rule for hearing screening?

How do I fill out a hearing test form?

How do you get hearing screening?

Complete this form in 5 minutes or less

People also ask

What is the 60 60 rule for hearing loss?

What are the guidelines for hearing screening?

printable hearing screening form

Try more PDF tools