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Annual Tuberculosis Symptom Review Form This form is required only of those with a history of positive PPD or other positive TB test results Submit directly to the Compliance Office: A102 Fax to:
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How to fill out annual tuberculosis symptom review

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How to fill out annual tuberculosis symptom review:

01
Begin by carefully reading the instructions provided for the annual tuberculosis symptom review form.
02
Start by filling out your personal information accurately in the designated sections of the form. This may include your full name, date of birth, address, contact information, and any other required details.
03
Proceed to the section where you are required to report any current or past symptoms related to tuberculosis. Be honest and thorough in your responses, providing as much detail as possible. This may include symptoms such as persistent cough, night sweats, weight loss, or fatigue.
04
If you have been diagnosed with tuberculosis in the past, you may also need to provide information about the treatment you received, including medications taken and any follow-up appointments you have attended.
05
If you have had any contact with individuals who have been diagnosed with tuberculosis, make sure to mention this in the designated section. Include the date and duration of contact, as well as the relationship to the individual(s) with tuberculosis.
06
If you have recently traveled to areas with a high prevalence of tuberculosis, indicate this on the form. Provide details about the countries visited and the duration of your stay.
07
Finally, review the completed form to ensure all sections have been filled out accurately and completely. Make any necessary corrections before submitting the form.

Who needs annual tuberculosis symptom review:

01
Individuals who have previously been diagnosed with tuberculosis and are currently on treatment or have completed treatment may be required to undergo an annual tuberculosis symptom review.
02
Individuals who have had recent contact with someone diagnosed with tuberculosis may also be asked to complete the annual symptom review as a precautionary measure.
03
Healthcare workers, especially those who work in high-risk settings such as hospitals or clinics, may need to undergo annual tuberculosis symptom review to ensure early detection and prevention of transmission.
04
People who have recently traveled to areas with a high prevalence of tuberculosis may also be required to complete the annual symptom review to monitor their health and identify any potential symptoms early on.
05
Other individuals who may be at a higher risk for tuberculosis, as determined by healthcare professionals, may also be asked to undergo the annual symptom review to safeguard their health and prevent the spread of the disease.
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Annual tuberculosis symptom review is a process where individuals are evaluated for symptoms of tuberculosis on a yearly basis.
Individuals who are at risk for tuberculosis or work in environments where there is a higher risk of exposure are required to file annual tuberculosis symptom review.
To fill out annual tuberculosis symptom review, individuals must provide information on their medical history, any symptoms they may be experiencing, and any relevant exposure to tuberculosis.
The purpose of annual tuberculosis symptom review is to identify and monitor individuals who may have been exposed to tuberculosis, in order to prevent the spread of the disease.
Information such as medical history, symptoms, and exposure to tuberculosis must be reported on annual tuberculosis symptom review.
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