Get the free TB Testing and History Form

TB Testing and History Form Bring this form to your healthcare provider and complete recommended testing, then upload this form and all supporting TB testing documentation using the US patient portal,

How to fill out tb testing and history

How to fill out tb testing and history

1. Gather all necessary information about the patient.
2. Ensure that the patient's personal and medical history is documented accurately.
3. Collect any previous TB test results, if available.
4. Follow the specific guidelines provided by the testing facility or healthcare professional.
5. Clean the patient's forearm with an alcohol pad and allow it to dry.
6. Administer a purified protein derivative (PPD) tuberculin skin test by injecting a small amount of PPD just under the patient's skin.
7. Document the date, time, and location of the test administration.
8. Instruct the patient to return within 48 to 72 hours to have the test read by a healthcare professional.
9. Perform and document the reading of the test result using the specific measurement guidelines.
10. Follow up with any necessary actions based on the test result, such as further testing or treatment.
11. Keep all records of the TB testing and history information in a secure and confidential manner.

Who needs tb testing and history?

1. Individuals who have been in close contact with someone diagnosed with active tuberculosis (TB).
2. People with symptoms suggestive of TB, such as persistent cough, fever, night sweats, and weight loss.
3. Healthcare workers regularly exposed to individuals with TB.
4. Residents and employees of high-risk settings, such as correctional facilities, homeless shelters, and nursing homes.
5. People with weakened immune systems, including those with HIV/AIDS, certain cancers, and organ transplant recipients.
6. Individuals planning to travel to countries where TB is prevalent.

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What is tb testing and history?

Tuberculosis (TB) testing and history is a medical evaluation that includes a test to detect tuberculosis infection and a review of an individual's medical history related to TB.

Who is required to file tb testing and history?

Certain individuals, such as healthcare workers and individuals living or working in high-risk settings, are required to file TB testing and history.

How to fill out tb testing and history?

TB testing and history forms can be filled out by healthcare providers or at a healthcare facility where the individual receives testing.

What is the purpose of tb testing and history?

The purpose of TB testing and history is to identify and monitor individuals who may have tuberculosis infection, in order to prevent the spread of the disease.

What information must be reported on tb testing and history?

TB testing and history forms typically require information such as the date of the TB test, the results of the test, and any previous history of TB infection.