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Last Name First Barchart #Pediatric Tuberculosis Screening QuestionnairePlease answer the following questions by circling Yes or No. Date1. Has your child had any contact with a case of TB? Yes No
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01
To fill out the 'Has your child had' section, follow these steps:
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Start by gathering all relevant medical information about your child.
03
Begin with the most recent vaccinations, illnesses, and medical conditions your child has had.
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Provide detailed information about each item, including the date, name of the vaccine or illness, and any additional notes.
05
Continue filling out the section in chronological order, moving from recent events to earlier ones.
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Double-check for any missing or incomplete information and make sure to fill in all required fields.
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Review the completed form for accuracy before submitting it.
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Save a copy of the filled-out form for future reference, if needed.

Who needs has your child had?

01
Parents or legal guardians of a child need to fill out the 'Has your child had' section.
02
Medical professionals or caregivers responsible for the child's healthcare may also need this information.
03
Schools, daycare centers, and other educational institutions often require this information for enrollment purposes.
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Any organization or individual involved in the child's care and well-being may ask for this information to ensure proper medical treatment.

What is Has your child had any contact with a case of TB Form?

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The question is asking about the health history and medical experiences of the child.
Parents or legal guardians of the child are required to fill out the form.
You can fill out the form by providing detailed information about the child's medical history, including any illnesses, injuries, or treatments.
The purpose of the form is to keep a record of the child's medical history for reference and future medical treatments.
All past and current medical conditions, treatments, medications, allergies, and surgeries must be reported on the form.
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