I think it can vary from hospital and what the problem is. At DD's first appointment when she was about a month old they just entered her in the system, went over her condition, and made a plan for later. She just had her second ENT appointment with a different hospital and doctor, and they did a hearing test, then we met with the doctor and he went over her condition and let us know what additional tests he would like to do. He also went over options for correcting her hearing.