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BRADY HEALTH CENTER ROSEBURG STATE UNIVERSITY 101 BRADDOCK ROAD ROSEBURG, MD 215322303 FAX: 301.687.7050 EMAIL: BRADYHEALTH ROSEBURG.EDU TUBERCULOSIS RISK ASSESSMENT FORM Name: Date of Birth ID# Country
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How to fill out tuberculosis risk assessment form

How to fill out tuberculosis risk assessment form
01
Read the instructions carefully.
02
Gather all the necessary information.
03
Start by providing your personal details.
04
Answer the questions honestly and accurately.
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If a question is not applicable to you, indicate that.
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Consult a healthcare professional if you have any doubts or concerns.
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Review your answers before submitting the form.
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Submit the completed tuberculosis risk assessment form.
Who needs tuberculosis risk assessment form?
01
Individuals who suspect they may have been exposed to tuberculosis.
02
People with symptoms such as persistent cough, weight loss, fever, and night sweats.
03
Healthcare workers who may come into contact with tuberculosis patients.
04
Individuals planning to travel to high-risk tuberculosis areas.
05
People with weakened immune systems, such as those with HIV/AIDS or undergoing immunosuppressive therapy.
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What is tuberculosis risk assessment form?
The tuberculosis risk assessment form is a document used to assess the risk of tuberculosis infection among individuals.
Who is required to file tuberculosis risk assessment form?
Healthcare providers, employers, and other organizations may be required to file the tuberculosis risk assessment form depending on specific regulations and requirements in their jurisdiction.
How to fill out tuberculosis risk assessment form?
The tuberculosis risk assessment form is typically filled out by providing information about the individual being assessed, including their medical history, exposure to tuberculosis, and any symptoms they may be experiencing.
What is the purpose of tuberculosis risk assessment form?
The purpose of the tuberculosis risk assessment form is to help healthcare providers and organizations identify individuals who may be at risk of tuberculosis infection and take appropriate measures to prevent its spread.
What information must be reported on tuberculosis risk assessment form?
Information such as the individual's medical history, exposure to tuberculosis, symptoms, and any relevant test results may need to be reported on the tuberculosis risk assessment form.
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