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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 result Submit directly to the Compliance Office: A102 Fax to: 6176903730
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How to fill out annual tuberculosis symptom review

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How to fill out an annual tuberculosis symptom review:

01
Start by obtaining the necessary form or questionnaire for the annual tuberculosis symptom review.
02
Carefully read through each question and instructions provided on the form.
03
Provide accurate and detailed information regarding your personal health history, particularly any known tuberculosis-related symptoms or exposures.
04
Fill in the form using clear and legible handwriting or type the information if required.
05
Answer all the questions on the form honestly and to the best of your knowledge.
06
If you are unsure about any question or need further clarification, consult with a healthcare professional or the appropriate authority responsible for the review.
07
Double-check your responses before submitting the completed form.
08
Follow any additional instructions provided, such as signing and dating the form if required.
09
Submit the completed annual tuberculosis symptom review form to the designated recipient or authority by the specified deadline.

Who needs an annual tuberculosis symptom review:

01
Individuals who have a history of tuberculosis infection or disease.
02
People who have been previously diagnosed with latent tuberculosis infection (LTBI).
03
Those who have been in close contact with someone diagnosed with active tuberculosis.
04
Healthcare workers who frequently come into contact with patients suspected or diagnosed with tuberculosis.
05
Individuals who have recently immigrated from or have spent significant time in countries with a high prevalence of tuberculosis.
06
People with compromised immune systems, such as those living with HIV/AIDS or receiving immunosuppressive therapy.
07
Individuals residing in crowded or high-risk settings, such as correctional facilities, homeless shelters, or nursing homes.
08
Individuals with specific underlying medical conditions that may increase their risk of tuberculosis infection or progression, as determined by healthcare professionals.
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Annual tuberculosis symptom review is a process where individuals are assessed for any symptoms related to tuberculosis on a yearly basis.
Individuals who are at risk for tuberculosis or have been exposed to the disease are required to file annual tuberculosis symptom review.
Annual tuberculosis symptom review can be filled out by providing information about any tuberculosis symptoms experienced, medical history, and exposure to the disease.
The purpose of annual tuberculosis symptom review is to identify and monitor individuals who may have tuberculosis symptoms in order to prevent the spread of the disease.
Information such as personal details, medical history, symptoms experienced, and any potential exposure to tuberculosis must be reported on annual tuberculosis symptom review.
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