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Get the free Tuberculosis Symptom Screening Form - hilo hawaii

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UNIVERSITY OF HAWAII I AT HILO STUDENT MEDICAL SERVICES 200 West Kali Street, Hilo, HI 96720 Phone (808) 932-7369 Fax (808) 932-7368 Tuberculosis Symptom Screening Form Patient Name ID # This form
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How to fill out tuberculosis symptom screening form

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How to fill out tuberculosis symptom screening form:

01
Start by reading the form carefully to understand the information required.
02
Provide your personal details such as name, date of birth, and contact information.
03
Answer the questions accurately and honestly regarding your symptoms, if any.
04
If you have been in close contact with someone diagnosed with tuberculosis, make sure to mention it.
05
Indicate any past medical history related to tuberculosis or any other relevant conditions.
06
Follow any instructions provided on the form regarding additional documentation or tests required.
07
Review the completed form to ensure all necessary information has been filled in correctly.
08
Sign and date the form as required.
09
Submit the form to the appropriate authority or healthcare provider.

Who needs tuberculosis symptom screening form:

01
Individuals who may have been exposed to tuberculosis or who are experiencing symptoms associated with tuberculosis.
02
People who work in high-risk settings such as healthcare facilities, correctional institutions, or homeless shelters.
03
Individuals traveling to countries with a high prevalence of tuberculosis, especially for extended periods.
Note: It is important to consult with a healthcare professional if you have any concerns or questions regarding tuberculosis or the screening form.
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Tuberculosis symptom screening form is a document used to assess individuals for symptoms of tuberculosis.
Individuals in high-risk settings such as healthcare facilities or correctional facilities are required to file tuberculosis symptom screening form.
The form typically includes questions about symptoms such as coughing, chest pain, and weight loss. Individuals should answer truthfully and accurately.
The purpose of tuberculosis symptom screening form is to identify individuals who may have symptoms of tuberculosis and to take appropriate actions for diagnosis and treatment.
Information such as personal details, symptoms experienced, and any previous history of tuberculosis should be reported on the form.
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