Physicians & Audiologists

Forms

Newborn Hearing Screening Program Diagnostic Evaluation (Form 03.45) (pdf) (http://www.illinoissoundbeginnings.org/forms/0345.pdf)
IDPH Newborn Hearing Screening Program Guidelines (pdf) (http://www.illinoissoundbeginnings.org/forms/FollowUpServicesReport.pdf)

Universal Newborn Hearing Screening Program Guidelines (pdf)(http://www.illinoissoundbeginnings.org/forms/ProgramGuidelines.pdf)
Diagnostic Testing Guidelines for Audiology (pdf) (http://www.illinoissoundbeginnings.org/forms/TestingGuidelines.pdf)

Infant Hearing Loss Fact Sheet (Form 43.04) (pdf) (http://www.illinoissoundbeginnings.org/forms/4304.pdf)
DSCC Facts: Audiology Services (Form 17.14) (pdf) (http://www.illinoissoundbeginnings.org/forms/1714.pdf)

Information for Parents (Form 43.00) (pdf) (http://www.illinoissoundbeginnings.org/forms/4300.pdf)
Información para los Padres (Form 43.00S) (pdf) (http://www.illinoissoundbeginnings.org/forms/4300S.pdf)
Informacje dla Rodziców (Form 43.00P, Polish) (pdf) (http://www.illinoissoundbeginnings.org/forms/4300P.pdf)
Important Instructions to Parents (Form 43.01) (pdf) (http://www.illinoissoundbeginnings.org/forms/4301.pdf)
Instrucciones Importantes para los Padres (pdf) (http://www.illinoissoundbeginnings.org/forms/4301S.pdf)
Wazne instrukcje dla rodziców (Form 43.01P) (pdf) (http://www.illinoissoundbeginnings.org/forms/4301P.pdf)
Order Form (Form 17.18) (pdf) (http://www.illinoissoundbeginnings.org/forms/1718.pdf)