Get the free Quantiferon Screening Questionnaire.docx - health unl

UNIVERSITY HEALTH CENTER TB QUANTIFIER SCREENING QUESTIONNAIRE Name (Last, First, M.I.): Date of Birth: NU ID #: What countries have you lived in or visited in the past 12 months: PERSONAL HEALTH

How to fill out quantiferon screening questionnairedocx

How to fill out Quantiferon screening questionnaire.docx:

1. Start by opening the Quantiferon screening questionnaire.docx file on your computer.
2. Read the instructions provided at the beginning of the questionnaire carefully. These instructions will guide you on how to proceed with filling out the document.
3. The questionnaire will typically include sections asking for personal information such as your full name, date of birth, contact details, and other relevant identification information. Fill in these sections accurately.
4. You may also be asked about your medical history, including any pre-existing conditions or previous exposure to tuberculosis. Answer these questions honestly and to the best of your knowledge.
5. In some cases, the questionnaire may inquire about recent travel or contact with individuals who have tuberculosis. Provide the necessary information based on your circumstances.
6. There might be a section where you need to indicate your consent for the screening procedure or acknowledge that you have understood the purpose of the questionnaire. Follow the instructions given and complete this section accordingly.
7. Take your time while filling out the questionnaire. Double-check your answers for accuracy before saving or submitting the document.
8. If you have any questions or concerns regarding the questionnaire, reach out to the appropriate healthcare professional or provider for clarification.

Who needs Quantiferon screening questionnaire.docx:

1. Individuals who have been referred for tuberculosis screening by their healthcare provider.
2. People who may have been exposed to tuberculosis due to certain occupations, travel, or close contacts with individuals known to have the disease.
3. Individuals with symptoms or risk factors that may indicate potential tuberculosis infection, as determined by healthcare professionals.
4. Patients undergoing certain medical treatments or procedures, such as organ transplantation or immunosuppressive therapy, which increase the risk of tuberculosis.
5. Individuals with compromised immune systems, such as HIV/AIDS patients or those on chemotherapy, who are more susceptible to tuberculosis infection.

Note: It is essential to consult with a healthcare professional to determine if you need to fill out the Quantiferon screening questionnaire or undergo tuberculosis screening. The specific requirements may vary based on your location, medical history, and other factors.

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