Forms
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Contact Us
Contact Us
Texas Department of State Health Services - Vision, Hearing, and Spinal Screening Program
PO Box 149347
MC 1818
Austin, TX 78714-9347
United States
Texas Department of State Health Services- Moreton Building
1100 West 49th Street
Austin, TX 78756-3199
United States
Relay Texas: Dial 7-1-1
Forms
M-62 Instructions for Vision Reporting Form
Spanish Hearing Referral Form M-46
English Hearing Referral Form M-46
Hearing Screening Report with Instructions M-52
Spinal Screening Report Form with Instructions M-51
School Spinal Screening Worksheet with Instructions
M-20 Class Sweep Check Screening Form
Individual Sweep Check Screening Form M-40
Audiometer Monthly Biological Calibration Check Procedure with Examples
Audiometer Monthly Biological Calibration Check Procedure Form M-45
Last review and update 7/31/26.