Forms
Midwife Reporting Form
Children's Medical Services - Form
December 8, 2021
This form is used by midwives to record their audiological results or to refer parents to a doctor who will follow screen and follow the baby. This form is then submitted to the New Mexico Department of Health.
Newborn Hearing Screening Referral Form
Children's Medical Services - Form
December 8, 2021
This form is used to refer parents to a doctor for a newborn hearing screening.