NHSP Certified Inpatient Provider Information

The Newborn Hearing screening Program (NHSP) website contains information on legislation for the program, regional Hearing Coordination Centers (HCC), Provider Information, Data Management Service, Standards, forms and applications, Parent Resources, and other important program information.  You are strongly encouraged to review the information posted on this website periodically for important program updates and for information of general interest to your newborn hearing screening program.


  • Application to Determine CCS Program Eligibility English |  Spanish  DHCS 4480 (PDF)
  • Newborn Hearing Screening Infant Reporting Form NHSP 100-1 
    Note: Forms are region specific.  To determine region please refer to the HCC Regional Map.

    Region A/B (PDF)
    Region C    (PDF)
    Region D    (PDF) 
Last modified date: 10/22/2019 2:03 PM