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Get the free For use with TB Technical Instructions 2007 and the DS-3030

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U. S. Department of State OMB No. 14050113 EXPIRATION DATE: 04/30/2012 ESTIMATED BURDEN: 10 minutes (See Page 2 Back of Form)MEDICAL EXAMINATION FOR IMMIGRANT OR REFUGEE APPLICANT For use with TB
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Gather all necessary information for the TB form, such as personal details, medical history, and symptoms.
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Start by providing your full name, date of birth, and contact information.
03
Fill in the required medical information, including previous TB treatment, medication allergies, and any existing health conditions.
04
Describe your symptoms in detail, including the duration and severity of cough, fever, weight loss, and night sweats.
05
If you have undergone any diagnostic tests related to TB, provide the results and attach any relevant medical reports.
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Answer all additional questions on the form regarding your lifestyle, travel history, and potential contact with TB-infected individuals.
07
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Sign and date the form to confirm that all the provided information is true and correct.
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Submit the filled-out TB form to the designated healthcare provider or organization.

Who needs for use with tb?

01
Anyone who suspects having tuberculosis (TB) or has been advised by a healthcare professional to get tested should fill out the TB form.
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People with persistent cough, fever, weight loss, night sweats, or other TB symptoms should also complete the TB form.
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Additionally, individuals who have been in close contact with someone diagnosed with active TB should fill out the form as part of the contact tracing process.
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Use with tb is a form used to report tax information related to tuberculosis prevention and control programs.
Healthcare facilities and institutions receiving funding for tuberculosis prevention and control are required to file for use with tb.
For use with tb form can be filled out online or through mail by providing accurate tax information related to tuberculosis programs.
The purpose of for use with tb is to ensure transparency and accountability in the funds allocated for tuberculosis prevention and control programs.
Information such as funding received, expenditures made, and outcomes achieved related to tuberculosis programs must be reported on for use with tb.
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