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Forms


Photo of the publication cover. 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.

Fillable Midwife Reporting Form



Photo of the publication cover. 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.

Fillable Newborn Hearing Screening Referral Form