Get the free 2016 TB Screening Form C - University of Washington - depts washington

20162017 Tuberculosis Screening Form C for Students in: Rehab Medicine, Pharmacy, MLS, and Lab Med Programs Part I. STUDENT INFORMATION (please type or print legibly) This section of the form to be

How to fill out 2016 tb screening form

How to fill out the 2016 TB screening form:

1. Start by carefully reading the instructions provided on the form. It is important to understand what information is required and how to properly complete each section.
2. Begin by providing your personal information, such as your full name, date of birth, and contact details. Ensure that all information is accurate and up-to-date.
3. Move on to the medical history section. Answer questions regarding any past cases of tuberculosis, symptoms experienced, and any previous treatments. Be honest and provide as much detail as possible.
4. If you have been in contact with someone who has been diagnosed with tuberculosis, indicate this in the appropriate section. Provide details of the individual and the type of contact you have had.
5. Proceed to answer questions regarding your current health status, including any respiratory symptoms or other medical conditions that you may have.
6. In the section related to previous TB tests, provide information about any tests you have undergone in the past, such as the dates, facility where they were conducted, and the results.
7. If you have been vaccinated against tuberculosis, specify the type of vaccine and the date it was administered.
8. Lastly, sign and date the form to certify that the information provided is accurate and complete.
9. Keep a copy of the completed form for your records.

Who needs the 2016 TB screening form:

1. The 2016 TB screening form may be required by healthcare professionals, specifically those working in institutions or organizations that deal with populations at higher risk for tuberculosis.
2. Individuals who have been in contact with someone diagnosed with tuberculosis may also need to fill out this form as a precautionary measure.
3. Certain workplaces, such as those in the healthcare, education, or correctional sectors, may require employees to undergo regular TB screenings and provide the completed form as proof.
4. Additionally, individuals applying for certain visas, permits, or residency in certain countries may be asked to complete the 2016 TB screening form as part of their application process.

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What is tb screening form c?

TB screening form C is a document used to screen individuals for tuberculosis infection.

Who is required to file tb screening form c?

Employees and individuals who are at risk for TB infection are required to file tb screening form C.

How to fill out tb screening form c?

TB screening form C can be filled out by providing personal information, medical history, and undergoing TB testing as required.

What is the purpose of tb screening form c?

The purpose of tb screening form C is to identify individuals who may be infected with tuberculosis for early detection and prevention.

What information must be reported on tb screening form c?

Information such as personal details, medical history, TB test results, and any exposure to TB must be reported on tb screening form C.