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Health Services Form 1 © Return directly to: Health Services Tuberculosis Exposure Risk Questionnaire Student MUST take this to their physician for review. Office Use Only Re: AP: Ac: Part A: Past
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How to fill out tuberculosis exposure risk questionnaire

How to fill out a tuberculosis exposure risk questionnaire:
01
Start by carefully reading each question on the questionnaire. It is important to understand the purpose and context of each question before providing your response.
02
Provide accurate and truthful information. Answer each question to the best of your knowledge and provide honest responses. Accuracy is crucial for the assessment of your tuberculosis exposure risk.
03
If you are unsure about any question or have difficulty understanding it, seek clarification from a healthcare professional or the person administering the questionnaire. It is important to have a clear understanding of what is being asked in order to provide accurate responses.
04
Ensure that you provide complete and comprehensive answers. Do not leave any questions unanswered or provide vague responses. Detailed and complete information helps in accurately assessing your tuberculosis exposure risk.
05
If the questionnaire asks for specific dates, locations, or contact information related to potential tuberculosis exposure, make sure to provide this information accurately. The accuracy of these details is important for evaluating your risk level.
06
Review your responses before submitting the questionnaire. Double-check for any errors or incomplete answers. It is crucial to ensure that your questionnaire is filled out correctly to obtain an accurate assessment of your tuberculosis exposure risk.
Who needs a tuberculosis exposure risk questionnaire?
01
Individuals who have had close contact with individuals diagnosed with tuberculosis may need to fill out a tuberculosis exposure risk questionnaire. This includes individuals who have been in the same household, workplace, or healthcare setting as someone with tuberculosis.
02
Healthcare workers who have been exposed to individuals with tuberculosis as part of their job responsibilities may also be required to fill out a tuberculosis exposure risk questionnaire.
03
Individuals who have recently traveled to or lived in areas with a high prevalence of tuberculosis may need to complete a tuberculosis exposure risk questionnaire. This is because certain geographic regions have a higher risk of tuberculosis transmission.
04
People with compromised immune systems, such as those with HIV/AIDS or on immunosuppressive medications, may be asked to fill out a tuberculosis exposure risk questionnaire due to their increased vulnerability to tuberculosis infection.
It is important to note that the need for a tuberculosis exposure risk questionnaire may vary depending on the specific situation and the guidelines established by healthcare professionals or organizations responsible for tuberculosis control and prevention. Therefore, it is advisable to consult with a healthcare provider or relevant authority to determine if you need to fill out such a questionnaire.
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