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The Florida Department of Health works to protect, promote & improve the health of all people in Florida through integrated state, county & community efforts.
Hearing Screening Forms
If newborn hearing screening results are not reported using the Florida Newborn Screening Metabolic Specimen Collection Card, one of three different hearing screening forms must be submitted for initial and follow-up hearing screenings. The eHearing Screen Form for Single Result or the eHearing Screen Form for Multiple Results can be completed on the computer and then sent preferably via Move IT, or printed and then faxed to (850) 245-4049. The Hearing Screen Form can be printed, completed by hand, and then scanned and sent preferably via Move IT or faxed to (850) 245-4049.