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This form is required for students to document their tuberculosis test results and the required steps for clearance before entering campus.
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How to fill out tuberculosis tb testing form

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How to fill out TUBERCULOSIS (TB) TESTING FORM

01
Obtain the TUBERCULOSIS (TB) TESTING FORM from your healthcare provider or relevant website.
02
Fill in your personal information, including your full name, date of birth, and contact details.
03
Indicate the purpose of the test, such as employment, travel, or medical evaluation.
04
Check any relevant medical history related to tuberculosis or previous testing, including prior positive results.
05
Provide information about any recent exposure to TB or symptoms you may be experiencing.
06
Sign and date the form at the bottom to confirm the information is accurate.
07
Submit the completed form to the designated healthcare provider or testing facility.

Who needs TUBERCULOSIS (TB) TESTING FORM?

01
Individuals who have been in close contact with someone diagnosed with TB.
02
People showing symptoms of tuberculosis, such as cough, fever, or weight loss.
03
Healthcare workers who may be exposed to TB in their profession.
04
Individuals traveling to regions where TB is endemic.
05
Patients undergoing certain medical treatments that may affect their immune system.
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People Also Ask about

Health care providers should comply with state and local laws and regulations requiring the reporting of TB disease. All persons with clinically active or presumed TB disease should be reported promptly to the local or state health department.
Keep a record of your positive test result 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.
TST Documentation Requirements Name and signature of person administering test. Date and time test administered. Location of test (e.g., right forearm, left forearm, alternate site) Tuberculin manufacturer, lot number and expiration date.
A TB test checks to see if you've been infected with Mycobacterium tuberculosis complex, which is the bacteria that causes tuberculosis (TB). There are two types of latent tuberculosis infection (LTBI) screen tests: a skin test and a blood test.
Do not record as “positive” or “negative”. Only record measurement in millimetres. If no induration, record as 0 mm.

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The TUBERCULOSIS (TB) TESTING FORM is a document used to record the results of tuberculosis screening tests and to assess an individual's potential exposure to TB.
Individuals who are required to undergo TB testing, such as healthcare workers, immigrants, and students in certain programs, are typically required to file the TUBERCULOSIS (TB) TESTING FORM.
To fill out the TUBERCULOSIS (TB) TESTING FORM, individuals should provide personal details such as name, date of birth, and contact information, and record the date of the test, type of test performed, and the results.
The purpose of the TUBERCULOSIS (TB) TESTING FORM is to document TB test results for public health tracking, ensure compliance with health regulations, and identify individuals who may need further evaluation or treatment.
The information that must be reported on the TUBERCULOSIS (TB) TESTING FORM includes patient identification details, test type, test result, date of the test, and any relevant medical history related to TB exposure.
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