Guidelines and Forms

Guideline for Reporting Hearing Screening Results to DHSS

All results of hearing screenings shall be reported to the DHSS Newborn Hearing Screening Program.

Who Should Report Infant Hearing Screenings?

What Screening Results Should Be Reported?

How Are Initial Hearing Screening Results Reported?

How Are Repeat Hearing Screening Results Reported?

How to Obtain Hearing Screening Only Result Forms:

How to Submit Hearing Screening Only Result Forms:

When to Report Screening Results:

Missouri Regulations 19CSR 40-9.010-40-9.040 require that hearing screening results be submitted within 7 days of completion of the hearing screening.


Guideline for Reporting Audiologic Diagnostic Results to DHSS

Audiologic Diagnostic Results Are Reported For:

NOTE: If a child passes the newborn hearing screening and is later diagnosed with a non-permanent conductive hearing loss due to transient middle ear pathology, it is not necessary to submit a report.

How to Report Diagnostic Results to DHSS:

Audiologic reports can be submitted by:

When to Report

Missouri Regulations 19CSR 40-9.010-40-9.040 require that audiologic diagnostic reports be submitted within 7 days of completion of the audiologic diagnostic evaluation.

Frequency of Reporting

If a child with hearing loss leaves the service of the audiologist that diagnosed the hearing loss, that audiologist should inform the DHSS that they are no longer seeing this child.

If the child was diagnosed with normal hearing bilaterally, but had a high risk factor for late onset or progressive hearing loss and will have hearing monitors, a report should be submitted at every monitor.

Other Information to Report

In addition to ABR diagnostic information, the reporting form requests information on risk factors and recommendations. Audiologists should complete these sections as well as the test results section.