Illinois dph conservation 2026

1. Click ‘Get Form’ to open the Illinois DPH Conservation form in the editor.
2. Begin by entering screening data for preschool children in line a and for school-age children in lines b-o. Ensure to include all full-time special education class children on line o.
3. In Column 1, input the total number of children screened. Follow this by entering the number of rescreened children in Column 2.
4. For Column 3, record the total number of children who received threshold tests after failing the second screening test. Include those for whom thresholds were attempted but results were inconclusive.
5. Continue filling out Columns 4 and 5 with known cases and referrals based on medical criteria. Sum these entries and place totals on line p.
6. Proceed to follow-up results by entering data for school-age and preschool children in Columns 6 and 7, respectively. Ensure that sums are consistent across columns as specified.
7. Complete the diagnosis section by entering totals for various hearing loss categories, ensuring accuracy in your calculations.
8. Finally, fill out the program section with agency details, including name, address, and contact information before submitting your report by June 30.

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