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  • Mn School Hearing Screening Worksheet 2018

Get Mn School Hearing Screening Worksheet 2018-2025

En date Rescreen date Any parent/teacher/child concerns about hearing? Visual Inspection External inspection Internal inspection/otoscopy (if Initial screen PASS/REFER PASS/REFER Rescreen PASS/REFER PASS/REFER done) If REFER, please describe findings: Pure tone audiometry Right ear 500 Hz, 25 dB 1000 Hz, 20 dB 2000 Hz, 20 dB 4000 Hz, 2.

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Your test results will be displayed on a graph called an audiogram that shows the softest sounds you can hear at their individual pitches or frequencies. The vertical axis (up and down line) shows the volume of the sounds. The horizontal axis (the line that goes across) represents the pitch or frequency of the sound.

A pass result is documented if responses are obtained in both ears to pure-tone air-conduction stimuli at 25 dB HL at 1000 Hz, 2000 Hz, and 4000 Hz. A referral is documented if there is an absent response to pure-tone air-conduction stimuli at 25 dB HL at any screening test frequency in either ear.

How to Read an Audiogram Y-Axis: Sound Intensity Levels. ... X-Axis: Sound Frequency. ... Healthy Hearing: -10 dBHL – 14 dBHL. ... Slight Hearing Loss: 15 dBHL – 25 dBHL. ... Mild Hearing Loss: 26 dBHL – 40 dBHL. ... Moderate Hearing Loss: 41 dBHL – 55 dBHL. ... Moderately-Severe Hearing Loss: 56 dBHL – 70 dBHL. ... Severe Hearing Loss: 71 dBHL – 90 dBHL.

The range for normal hearing is defined as hearing thresholds of -10 to 15 dB at all frequencies (0 to 20 dB when testing babies through the speakers).

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.

The numbers on the top of the audiogram represent pitch. When reading them from left to right, pitch changes from low to high (bass to treble). The numbers running down the side of the audiogram represent loudness level. When reading from top to bottom, the loudness changes from soft to loud.

Here are some things you can do ahead of time to help prepare them for the experience. Desensitize your child's ears. During the audiology appointment, there is going to be a lot of attention placed on your child's ears. ... Practice wearing headphones. ... Work on repeating words on cue. ... Try a conditioned play activity.

Normal = less than 25 db HL. Mild = 25-40 db HL. Moderate = 41-65 dB HL. Severe = 66-90 db HL.

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© Copyright 1997-2025
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232