Early Hearing Detection and Intervention Program
- Hearing Screen/Rescreen Report (PDF, 13 KB)
- Used by birthing/neonatal facilities to report rescreen outcomes before birth discharge OR out-patient initial screen and rescreen outcomes.
- Also used by any other provider to report initial screen and rescreen outcomes.
- Hearing Diagnostic and Amplification Report (PDF, 18 KB; Word, 35 KB) - Used by private providers to report diagnostic audiological evaluation outcomes and amplification selection outcomes.
- Permission for Referral Form
- BEGINNINGS for Parents of Children Who are Deaf or Hard of Hearing, Inc.
- Early Learning Sensory Support Program for Children with Hearing Impairments
- Children’s Developmental Services Agencies – CDSA