Forms

• EHDI Resource Order Form (pdf)
• Diagnostic Reporting Form (pdf)
• Mandated EHDI EI Enrollment Form (pdf)
• Screening Facility Reporting Form (pdf)
• EI Physician Statement (pdf)

Hospital Protocols

• Oregon EHDI Protocol (pdf)
• JCIH in Pediatrics Journal (pdf)
• OAE Equipment Evaluation Checklist (pdf)
• Screener Communication Competency (pdf)
• Screener Training Checklist (pdf)
• Hearing Screener Script (pdf)

Diagnostic Protocols

• Principles and Guidelines for Early Hearing Detection and Intervention Programs (2007 position statement, pdf)

Facilities

• List of Screening Hospitals
• List of Outpatient Screening Facilities
• List of Diagnostic Facilities
• List of EI Programs by County

Oregon EHDI Loaner Hearing Aid Program

The Oregon EHDI Loaner Hearing Aid Program is open to children under age 3 whose hearing loss is confirmed by an audiologist. The program lends out hearing aids for up to six months. The initial loan period can be extended for an additional three months in certain circumstances.

To qualify, families must be residents of Oregon and be in the process of securing permanent hearing aids through insurance or other means. Parents can apply for hearing aids by completing an application form. The child's audiologist must complete a portion of the application. The Loaner Hearing Aid Program currently has 60 hearing aids to loan to eligible children. 
 
For more information about this program, call 971-673-2433.

• Loaner Hearing Aid Program Policies and Procedures (pdf)
• Loaner Hearing Aid Program Application (pdf)
• Loaner Hearing Aid Program Parent Agreement (pdf)
• Loaner Hearing Aid Program Extension Application (pdf)

OVERS Hearing Screening Module

• FAQs (pdf)
• OVERS Enrollment Form (pdf)
• How to install the Citrix client (pdf)
• How to generate reports through Citrix (pdf)
• Watch the training video for Screeners (requires the Adobe Flash player)
• Watch the training video for Birth Clerks (requires the Adobe Flash player)