Newborn Hearing Screening

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You'll pick your facility after signing in.

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Birthing facility*

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Today (0)

Awaiting screening

Babies registered for screening at this facility.

Walk-in registration

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1

Baby

2

Mom

3

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Baby's details

Required fields marked with *

Patient type

New patient

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Last name*

First name*

Middle name

Sex*

Male

Female

Date of birth*

Time of birth

12-hour format

Weight kg

Gest. wks

Order

Edit patient details

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Baby

Correct any details mom may have entered incorrectly

Last name*

First name*

Middle name

Sex*

Male

Female

Date of birth*

Time of birth

Weight kg

Gest. wks

Order

Mother

Last name*

First name*

Middle name

Phone*

Address

Barangay

City

Province

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Patient type

New

Repeat

Screening Results

Tap Pass or Refer for each ear. Time auto-fills.

Risk factors

None — all clear

All answered No. Tap only what applies.

NHSRC Seal

Will sync to ENNHSR

What happened at this screening?

Leave as Accepted for a normal screening.

Notes (optional)

Review before submit

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Baby

Screening

Result

Screening saved

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Visit ID-

Result-

Seal-

ENNHSR-

Point camera at the QR code on the mom's Baby Card

Daily Log

Today's screenings by facility