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Student Health Services Annual Tuberculosis Symptom Assessment Name: DOB: Date of Examination: (within one year of matriculation) B/P Temp Pulse WET HGT Allergies: Medication: Reason for symptom Assessment:
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How to fill out annual tuberculosis symptom assessment

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How to fill out annual tuberculosis symptom assessment:

01
Begin by familiarizing yourself with the form. Take the time to read through the instructions and understand the purpose of each section.
02
Provide your personal information. This may include your name, contact details, date of birth, and any other necessary identification information.
03
Answer the questions truthfully. The assessment will likely involve questions about your medical history, any symptoms you may have experienced, and any potential risk factors for tuberculosis.
04
If you are unsure about any question, seek clarification. It is important to provide accurate information to ensure an effective assessment.
05
Take note of any additional instructions or requirements for completing the assessment. This may include attaching relevant medical records, lab results, or other supporting documentation.

Who needs annual tuberculosis symptom assessment:

01
Individuals who have previously been diagnosed with tuberculosis and are undergoing treatment or completing a follow-up assessment.
02
People who have a known exposure to tuberculosis, such as close contacts or individuals working in high-risk settings like healthcare facilities or correctional facilities.
03
Individuals who are experiencing symptoms that may be associated with tuberculosis, such as persistent cough, weight loss, night sweats, and fatigue.
04
Certain populations may also be recommended to undergo annual tuberculosis symptom assessments, such as individuals living with HIV/AIDS, those on immunosuppressive therapy, or individuals with a weakened immune system.
Remember, it is essential to refer to local guidelines and recommendations regarding tuberculosis assessments, as they may vary based on your geographical location and specific circumstances.
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The annual tuberculosis symptom assessment is a process where individuals are evaluated for symptoms related to tuberculosis infection.
Anyone who is at risk for tuberculosis infection or works in environments where tuberculosis exposure is possible may be required to file the annual tuberculosis symptom assessment.
The annual tuberculosis symptom assessment can be filled out by providing information about any symptoms related to tuberculosis infection, recent exposure to tuberculosis, and any relevant medical history.
The purpose of the annual tuberculosis symptom assessment is to monitor and prevent the spread of tuberculosis infection.
Information such as symptoms related to tuberculosis infection, recent exposure to tuberculosis, and relevant medical history must be reported on the annual tuberculosis symptom assessment.
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