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This form is required to be completed and submitted by students to the University of Detroit Mercy's Student Health Center, particularly to provide information regarding tuberculosis exposure and
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How to fill out tb questionnaire - udmercy
How to fill out TB Questionnaire
01
Obtain a copy of the TB Questionnaire from your healthcare provider or online.
02
Read the instructions carefully before starting to fill it out.
03
Provide your personal information including name, date of birth, and contact details.
04
Answer the questions regarding your medical history honestly.
05
Indicate if you have experienced any TB symptoms such as a persistent cough, weight loss, or fever.
06
Disclose any history of TB exposure or previous TB treatment.
07
If applicable, mention any underlying health conditions that may affect your TB risk.
08
Review your answers for accuracy and completeness.
09
Sign and date the questionnaire as required.
Who needs TB Questionnaire?
01
Individuals experiencing symptoms of TB.
02
Those who have been in contact with someone diagnosed with TB.
03
Healthcare workers in high-risk settings.
04
Individuals applying for certain jobs or travel visas.
05
Patients with underlying health conditions that may increase TB risk.
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What is TB Questionnaire?
The TB Questionnaire is a form used to assess potential tuberculosis (TB) exposure and risk factors for individuals, primarily in healthcare settings or during immigration processes.
Who is required to file TB Questionnaire?
Individuals who are undergoing medical examinations for immigration, school admissions, or certain employment opportunities in healthcare or other risk-prone environments are typically required to file the TB Questionnaire.
How to fill out TB Questionnaire?
To fill out the TB Questionnaire, individuals should provide accurate and truthful responses to all questions regarding their health history, potential exposure to TB, and any symptoms they may be experiencing, ensuring they follow any specific instructions provided.
What is the purpose of TB Questionnaire?
The purpose of the TB Questionnaire is to identify individuals at risk for TB exposure and disease, enabling appropriate medical evaluation, treatment, and control measures to be implemented.
What information must be reported on TB Questionnaire?
Information that must be reported on the TB Questionnaire includes personal health history, any prior TB diagnoses or treatments, symptoms related to TB (such as persistent cough or weight loss), and details about potential exposure to TB.
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