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Get the free Proof of Tuberculosis Screening - jsu

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This document serves as proof of tuberculosis screening required by Jacksonville State University's Student Health Center as part of the medical documentation for enrollment.
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How to fill out proof of tuberculosis screening

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How to fill out Proof of Tuberculosis Screening

01
Obtain the Proof of Tuberculosis Screening form from your healthcare provider or relevant health authority.
02
Fill in your personal information, including your name, date of birth, and contact details at the top of the form.
03
Indicate the date of your tuberculosis screening test.
04
Enter the type of tuberculosis test you received (e.g., skin test or blood test).
05
Provide the results of your tuberculosis test (e.g., positive, negative, or indeterminate).
06
Ensure your healthcare provider signs and dates the form to confirm the accuracy of the information.
07
Make copies of the completed form for your records and for submission where required.

Who needs Proof of Tuberculosis Screening?

01
Individuals traveling to countries with high rates of tuberculosis.
02
Healthcare workers exposed to potentially infectious patients.
03
Students or employees in health-related fields.
04
Individuals applying for residency or immigration in certain countries.
05
People who have been in close contact with someone diagnosed with tuberculosis.
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If you have symptoms of TB disease, a positive TB blood test or TB skin test and your health care provider finds evidence of active TB disease during the medical evaluation, you may be diagnosed with active TB disease. People with active TB disease feel sick.
At time of reading: Name and signature of person reading test. Date and time test read. Exact number of mm of induration (if no induration, document "0" mm) Interpretation of reading (i.e., positive or negative, based on individual's risk factors)
Ask your health care provider for a written record of your positive TB skin test result. This will be helpful if you are asked to have another TB test in the future.
There are two types of tests for TB infection: the TB blood test and the TB skin test. Ask your health care provider which TB test is best for you.
A positive result from a TB blood test or TB skin test usually means TB infection. More tests, such as a chest radiograph, are needed to rule out TB disease. Some people with TB disease may have a negative result from a TB blood test or TB skin test.
There are two types of tests for tuberculosis (TB) infection: the TB blood test and the TB skin test. A positive test result for TB infection means you have TB germs in your body.
Ask your health care provider for a written record of your positive TB skin test result. This will be helpful if you are asked to have another TB test in the future.

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Proof of Tuberculosis Screening is a documentation that confirms an individual has undergone testing for tuberculosis (TB) and the results of that testing.
Individuals such as students, healthcare workers, and immigrants may be required to file Proof of Tuberculosis Screening, depending on the regulations of specific institutions or jurisdictions.
To fill out Proof of Tuberculosis Screening, individuals should provide their personal details, the type of TB test taken, test results, and information from the healthcare provider who administered the test.
The purpose of Proof of Tuberculosis Screening is to ensure the health and safety of individuals by identifying and treating those who are infected with tuberculosis.
Information that must be reported includes the individual's name, date of birth, type of TB screening test used, test results, date of the test, and the signature and contact information of the healthcare provider.
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