Health Screen

• Enter Contact Date (MMDDYY) or click and select date. Default is today's date.

• Enter Clinic Date (MMDDYY) or click and select date..

• Click Grade and select. Default grade is from student record.

• Click Staff Name and select staff member who completed screening.

• Enter Referral Date (MMDDYY) or click and select date.

• Click Referral and select reason.

• Click Reason and select.

• Click Folder and select where to file screening status.

Left Ear

• Click Left Aid and select hearing aid if worn in that ear.

• Click Tymp Type and select.

• Click 500hz and select Pass or Fail, if level used.

• Click 1000hz and select  Pass or Fail,, if level used.

• Click 2000hz and select Pass or Fail, if level used.

• Click 4000hz and select Pass or Fail, if level used.

• Enter Volume.

• Enter Static Compliance result.

• Enter Middle Ear Pressure result.

• Click Result and select final result.

Right Ear

• Click Right Aid and select hearing aid if worn in that ear.

• Click Tymp Type and select.

• Click 500hz and select  Pass or Fail,, if level used.

• Click 1000hz and select  Pass or Fail,, if level used.

• Click 2000hz and select  Pass or Fail,, if level used.

• Click 4000hz and select  Pass or Fail,if level used.

• Enter Volume.

• Enter Static Compliance result.

• Enter Middle Ear Pressure result.

• Click Result and select final result.

• Enter Doctor Comment, if appropriate.

• Enter Screener Comment, if appropriate.

• Click to spell check

• Click for more space.

• Click .