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TIFF Outreach Services TUBERCULOSIS RISK ASSESSMENT Date: Client Name: Age: Male Female Counselor: Date of last TB Test: (Please initial each box) I have reviewed information about TB with my counselor.
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Tuberculosis risk assessment is a process of evaluating the likelihood of an individual being exposed to or infected with tuberculosis based on their personal history, medical conditions, and environment.
Healthcare facilities, employers, and organizations in high-risk settings such as prisons or shelters are typically required to file tuberculosis risk assessments for their employees or residents.
To fill out a tuberculosis risk assessment, one must gather information on an individual's medical history, potential exposure to tuberculosis, and any symptoms they may be experiencing. This information is then used to determine the level of risk and necessary interventions.
The purpose of tuberculosis risk assessment is to identify individuals who may be at risk of tuberculosis infection or transmission, in order to provide appropriate prevention, testing, and treatment.
Information such as individual's medical history, potential exposure to tuberculosis, symptoms, and any previous testing or treatment for tuberculosis must be reported on a tuberculosis risk assessment.
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