Screening equipment is available through loan from the Ohio Department of Health Children’s Hearing and Vision Program. Equipment may only to be loaned to early learning centers, health departments and schools.

An agreement between the Ohio Department of Health and the early learning center, health department or school must be signed by both parties before equipment is loaned.

The equipment must be picked up by the early learning center, health department or school and dropped off by the early learning center, health department or school within the two month lending time period.

Please complete the below information to request an equipment loan. Following the submission of this form, you will be contacted by an ODH staff member.

1. Please complete the following information to request an equipment loan.

2. Select the type of screening equipment you would like to borrow.

3. Select the preferred timeframe you would like to borrow the screening equipment.

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