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TUBERCULIN PURIFIED PROTEIN DERIVATIVE (PPD) ORDER FORM Mail or Fax this request to: KANSAS DEPARTMENT OF HEALTH AND ENVIRONMENT TUBERCULOSIS CONTROL PROGRAM 1000 SW JACKSON SUITE 210 TOPEKA, KS.

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What is request for tuberculin purified?

Request for tuberculin purified is a formal document submitted to request the supply of tuberculin purified, which is a substance used in tuberculosis skin tests.

Who is required to file request for tuberculin purified?

Healthcare providers, medical laboratories, or clinics that perform tuberculosis skin tests are required to file request for tuberculin purified.

How to fill out request for tuberculin purified?

To fill out request for tuberculin purified, you need to provide essential information such as the name and contact details of the requester, the quantity of tuberculin purified required, and the intended use of the substance.

What is the purpose of request for tuberculin purified?

The purpose of request for tuberculin purified is to ensure the proper supply and distribution of tuberculin purified for tuberculosis skin tests, which are crucial in diagnosing and monitoring tuberculosis infection.

What information must be reported on request for tuberculin purified?

The request for tuberculin purified must include the name and contact details of the requester, the quantity of tuberculin purified required, the intended use of the substance, and any additional pertinent information that may be required by the relevant authorities.

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