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Montgomery County Department of Health Pottstown Health Center (610) 9705040 Norristown Health Center (610) 2785145 Willow Grove Health Center (215) 7845415 Last Name Chart # First Name Pediatric
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How to fill out pediatric tuberculosis screening questionnaire

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How to fill out pediatric tuberculosis screening questionnaire?

01
Start by carefully reading the entire questionnaire to understand the questions being asked and the information required.
02
Provide accurate and up-to-date personal information including the child's name, date of birth, gender, and contact details.
03
Answer all the questions honestly and to the best of your knowledge. If you are unsure about a particular question, you can leave it blank or mark it as "unsure".
04
Make sure to provide details about the child's medical history, including any past or current tuberculosis (TB) infections, exposure to TB, or previous TB screenings.
05
If the questionnaire asks about symptoms, report any symptoms the child may be experiencing, such as coughing, weight loss, fatigue, or night sweats.
06
Some questionnaire may inquire about the child's travel history to or from countries with a high prevalence of TB. If applicable, provide accurate details regarding recent travel.
07
If the questionnaire includes questions about the child's close contacts, such as family members or friends with TB, list their names and contact information if possible.
08
In case the questionnaire asks for additional information or requires any supporting documents, gather and attach those as instructed.
09
After completing the questionnaire, review your answers to ensure accuracy and completeness.
10
Submit the filled-out questionnaire as per the specified instructions, either by hand or through an online platform.

Who needs pediatric tuberculosis screening questionnaire?

01
Pediatric tuberculosis screening questionnaires are typically required for children who may have been exposed to tuberculosis or are at high risk for TB. This includes children who have had close contact with individuals diagnosed with TB, have traveled to countries with a high tuberculosis burden, or present symptoms suggestive of TB.
02
Healthcare providers, including pediatricians and healthcare facilities, often use these questionnaires as part of the screening process to identify children who may require further testing or evaluation for tuberculosis.
03
Parents or guardians of children who fall in the above-mentioned categories should make sure to fill out the pediatric tuberculosis screening questionnaire to ensure proper evaluation and management of their child's health.
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Pediatric tuberculosis screening questionnaire is a form used to assess the risk of tuberculosis in children.
Healthcare providers and parents/guardians are required to file the pediatric tuberculosis screening questionnaire.
The questionnaire should be filled out by providing accurate information about the child's medical history and any possible exposure to tuberculosis.
The purpose of the pediatric tuberculosis screening questionnaire is to identify children at risk for tuberculosis and ensure they receive appropriate testing and treatment.
Information such as the child's medical history, exposure to tuberculosis, and any symptoms of tuberculosis must be reported on the questionnaire.
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