Form CH-16 Hearing Screening Report - New Jersey

Form CH-16 Hearing Screening Report - New Jersey

What Is Form CH-16?

This is a legal form that was released by the New Jersey Department of Health - a government authority operating within New Jersey. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is a CH-16 Hearing Screening Report?
A: The CH-16 Hearing Screening Report is a document used in New Jersey to report the results of a hearing screening for newborns and infants.

Q: Who uses the CH-16 Hearing Screening Report?
A: The CH-16 Hearing Screening Report is used by healthcare professionals who perform hearing screenings on newborns and infants in New Jersey.

Q: What information does the CH-16 Hearing Screening Report include?
A: The CH-16 Hearing Screening Report includes information about the infant’s demographics, the type of hearing screening performed, and the results of the screening.

Q: Why is the CH-16 Hearing Screening Report important?
A: The CH-16 Hearing Screening Report is important because it helps to identify infants who may have hearing loss and ensures they receive appropriate follow-up care and intervention services if necessary.

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Form Details:

  • Released on July 1, 2012;
  • The latest edition provided by the New Jersey Department of Health;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;

Download a printable version of Form CH-16 by clicking the link below or browse more documents and templates provided by the New Jersey Department of Health.

Download Form CH-16 Hearing Screening Report - New Jersey

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