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007.13.2-IV. QUESTIONNAIRE COLLECTION AND SUBMISSION.

AR ADC 007.13.2-IVArkansas Administrative Code

West's Arkansas Administrative Code
Title 007. Department of Health
Division 13. Division of Maternal and Child Health
Rule 2. Screening of Newborn Infants for Risk Factors Associated with Hearing Loss
Ark. Admin. Code 007.13.2-IV
007.13.2-IV. QUESTIONNAIRE COLLECTION AND SUBMISSION.
Currentness
The hearing impairment at-risk questionnaires must be completed and submitted as described below.
A. Collection of Questionnaires.
1. For all infants born in medical facilities, the questionnaire shall be completed at the time of discharge from the facility.
2. Birth attendants shall complete the hearing impairment at-risk questionnaire within 72 hours of the birth of the infant.
B. Submission of Questionnaires. Questionnaires shall be submitted to the Arkansas Department of Health, Office of Hearing, Speech and Vision Services on a monthly basis. The submitter is responsible for supplying adequate identifying information on the questionnaire to be used for tracking infants with and without risk characteristics.
C. Forms. The county health units will not supply these forms. Questionnaires may be obtained by writing to:
Arkansas Department of Health
Office of Hearing, Speech and Vision Services
Infant Hearing Program
4815 West Markham Street, Slot 20
Little Rock, Arkansas 72205-3867
D. Unusable Questionnaires. Inadequate, incomplete or otherwise unusable questionnaires shall be reported to the submitter. The submitter shall be responsible for assuring recollection and resubmission within seven days of notification.
Current with amendments received through February 15, 2024. Some sections may be more current, see credit for details.
Ark. Admin. Code 007.13.2-IV, AR ADC 007.13.2-IV
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