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NAME:BIRTHDATE:HID/Username:Last (Family Name)First. TUBERCULOSIS (TB) CLEARANCE Submit a Manitou tuberculin skin test (PPD) performed within 12 months prior to enrollment. If positive, submit written
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Namebirthdateuhidusername is a unique identifier assigned to individuals for the purpose of tracking healthcare information.
Healthcare providers and facilities are required to maintain and report namebirthdateuhidusername for each patient.
Namebirthdateuhidusername is typically filled out during the registration process at a healthcare facility or provider's office.
Namebirthdateuhidusername is used to accurately identify and track an individual's medical records, treatments, and history.
Namebirthdateuhidusername typically includes the individual's name, birthdate, unique healthcare identifier, and username.
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