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Tuberculosis Symptoms Screening Questionnaire This form must be completed annually by a student with a history of a positive TB skin test. PLEASE PRINT Name: Enrolled in Which Program? Address: City:
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The tuberculosis symptoms screening questionnaire is a form or set of questions designed to evaluate an individual's risk of having tuberculosis (TB) by identifying common symptoms associated with the disease.
The tuberculosis symptoms screening questionnaire is typically required to be completed by individuals who may have been exposed to TB or those who are seeking medical evaluation for potential TB infection.
To fill out the tuberculosis symptoms screening questionnaire, individuals need to answer the questions honestly and accurately. They should provide information about any symptoms they may be experiencing, recent exposures to TB, and any relevant medical history.
The purpose of the tuberculosis symptoms screening questionnaire is to aid in the early detection and identification of individuals who may be at risk of having TB. It helps healthcare professionals assess the likelihood of TB infection and determine the need for further diagnostic testing or treatment.
The tuberculosis symptoms screening questionnaire typically requires individuals to provide information such as their personal details (name, age, contact information), medical history, recent exposures to TB, and any current symptoms they may be experiencing.
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