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Form IOCI14-342 Early Hearing Detection and Intervention (Ehdi) Physician Follow-Up Report - Illinois
What Is Form IOCI14-342?
This is a legal form that was released by the Illinois Department of Public Health - a government authority operating within Illinois. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is the IOCI14-342 Early Hearing Detection and Intervention (Ehdi) Physician Follow-Up Report?A: It is a report used in Illinois for follow-up on early hearing detection and intervention.
Q: What is the purpose of the report?A: The purpose of the report is to ensure that infants who did not pass the hearing screening receive appropriate follow-up care.
Q: Who fills out the report?A: The report is typically filled out by the physician who performed the follow-up evaluation on the infant.
Q: What information is required in the report?A: The report requires information about the infant's demographic details, hearing screening results, and the follow-up evaluation findings.
Q: Is the report specific to Illinois?A: Yes, the report is specific to Illinois and is used to track the status of early hearing detection and intervention in the state.
Q: Are there any deadlines for submitting the report?A: Yes, the report must be submitted within 14 days of completing the follow-up evaluation.
Form Details:
- Released on January 1, 2015;
- The latest edition provided by the Illinois Department of Public Health;
- 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 IOCI14-342 by clicking the link below or browse more documents and templates provided by the Illinois Department of Public Health.
