Handheld apparatus (100), and method for comprehensive hearing testing with pass/refer results applicable for large scale neonatal screening, adult screening, full hearing diagnostic is disclosed. The apparatus (100) contains a signal processor (1), integral ear probe (150), and remote ear, and scalp probes (104) all packaged as a single handheld battery operated device (100). The apparatus (100) preferably performs a battery of tests, either independently or combined: oto-acoustic measurements utilizing a novel digital signal processing method for evoked oto-acoustic signal processing, auditory brain stem response test, tympanometry, and oto-reflectance. Algorithms for automatic test sequence, and pass/refer indication for the tests are provided.