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Montana DP HHS Tuberculosis Program Tuberculosis Symptom Assessment Use annually when client has a documented history of a positive tuberculin skin test (ST) or documentation of treatment of active
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How to fill out tuberculosis symptom assessment

How to fill out tuberculosis symptom assessment
01
Gather the necessary forms and medical documents for the tuberculosis symptom assessment
02
Ensure you have a clean and quiet workspace
03
Start by carefully reading the instructions provided with the assessment
04
Review the list of symptoms associated with tuberculosis
05
Tick or check the box next to each symptom you are currently experiencing
06
Provide as much detail as possible regarding each symptom, such as the severity or duration
07
Answer any additional questions about your medical history or previous tuberculosis diagnosis
08
Complete the assessment by signing and dating it
09
Submit the assessment to the appropriate healthcare professional or institution
Who needs tuberculosis symptom assessment?
01
Individuals who are experiencing symptoms that might be related to tuberculosis
02
Individuals who have been exposed to tuberculosis through close contact with an infected person
03
Individuals who have a weakened immune system due to conditions such as HIV/AIDS
04
Individuals who have recently traveled to or lived in areas with a high incidence of tuberculosis
05
Individuals who work in healthcare settings with a higher risk of tuberculosis exposure
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What is tuberculosis symptom assessment?
Tuberculosis symptom assessment is a process of evaluating individuals for signs and symptoms of tuberculosis infection.
Who is required to file tuberculosis symptom assessment?
Healthcare providers and individuals who are at risk of tuberculosis infection are required to file tuberculosis symptom assessment.
How to fill out tuberculosis symptom assessment?
Tuberculosis symptom assessment can be filled out by providing accurate information about any symptoms related to tuberculosis infection.
What is the purpose of tuberculosis symptom assessment?
The purpose of tuberculosis symptom assessment is to identify individuals who may have tuberculosis infection and provide timely treatment.
What information must be reported on tuberculosis symptom assessment?
Information such as coughing, chest pain, fever, weight loss, and night sweats must be reported on tuberculosis symptom assessment.
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