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TB Risk Screening Form Page 1 of 2Last Name First Name PBA ID# Birthdate: / / Current Age: Check all that apply: q FT Undergraduate q Maritime/Evening q Graduate q Resident q Commuter q Nursing q
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How to fill out tb risk screening form
How to fill out tb risk screening form
01
First, obtain a copy of the TB risk screening form.
02
Read the instructions on the form carefully.
03
Start filling out the form by providing your personal information, including name, date of birth, and contact details.
04
Answer each question on the form accurately and truthfully based on your medical history and current health status.
05
The form may require information about previous TB infections, exposure to TB patients, symptoms, and risk factors.
06
If you are unsure about any question, consult a healthcare professional for guidance.
07
Make sure to complete all sections of the form and sign it if required.
08
Double-check your answers for any mistakes or omissions.
09
Submit the filled-out form to the designated recipient, such as a healthcare provider, clinic, or employer.
10
Keep a copy of the completed form for your records.
Who needs tb risk screening form?
01
Individuals who are at risk of tuberculosis need to fill out the TB risk screening form.
02
This includes individuals who have had close contact with someone diagnosed with TB, those experiencing TB symptoms, or individuals from countries with a high prevalence of TB.
03
Healthcare workers, individuals residing or working in congregate settings like prisons or shelters, and those with weakened immune systems are also typically required to undergo TB risk screening.
04
Specific guidelines regarding who needs to fill out the form may vary depending on the country and healthcare regulations.
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