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Get the free University Circle Future Connections Program TB Test Permit Form - clevelandclinic

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This form collects necessary information for students participating in the Cleveland Clinic's University Circle Future Connections Program, requesting parental permission for a TB test and Hepatitis
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How to fill out University Circle Future Connections Program TB Test Permit Form

01
Obtain the University Circle Future Connections Program TB Test Permit Form from the program's website or office.
02
Fill out your personal information, including your name, date of birth, and contact details.
03
Provide any required medical history information as requested on the form.
04
Sign and date the form to verify that all information provided is accurate.
05
Submit the completed form to the designated office or individual as instructed by the program.

Who needs University Circle Future Connections Program TB Test Permit Form?

01
All participants who are joining the University Circle Future Connections Program and require a tuberculosis test must fill out the TB Test Permit Form.
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The University Circle Future Connections Program TB Test Permit Form is a document required for participants to confirm they have undergone tuberculosis testing, ensuring the safety and health of all program attendees.
Participants in the University Circle Future Connections Program, particularly those who will be in close contact with others, are required to file the TB Test Permit Form.
To fill out the TB Test Permit Form, carefully follow the instructions provided on the form, including personal details, test results, and signatures as required.
The purpose of the TB Test Permit Form is to ensure that participants are screened for tuberculosis and to help maintain a safe environment for all involved in the program.
The form must report personal identification information, details of the tuberculosis test conducted, results, and any relevant health information as specified.
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