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Employee Name:Date of Birth:MANITOU TEST(TUBERCULOSIS SCREENING)
Pursuant to the New Jersey Administrative code, all newly employed school staff members must
undergo a physical examination that includes
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How to fill out tuberculosis screening
How to fill out tuberculosis screening
01
To fill out a tuberculosis screening form, follow these steps:
02
Start by providing your personal information, including your name, age, and contact details.
03
Next, indicate your medical history, including any previous tuberculosis infections or treatments.
04
Answer the screening questions honestly and to the best of your knowledge.
05
If required, provide any additional information or documentation requested.
06
Review your completed form for accuracy and completeness.
07
Submit the form as instructed, either by hand or through an online system.
08
Follow any further instructions provided by the healthcare provider or screening program.
09
Remember to consult the healthcare professionals or program guidelines for specific instructions on filling out the tuberculosis screening form.
Who needs tuberculosis screening?
01
Tuberculosis screening is recommended for the following individuals:
02
- People who have been in close contact with someone diagnosed with active tuberculosis
03
- Individuals with symptoms suggestive of tuberculosis, such as persistent cough, weight loss, night sweats, and fatigue
04
- Healthcare workers and others who work in high-risk settings, such as hospitals, correctional facilities, and homeless shelters
05
- Individuals with weakened immune systems, including those with HIV/AIDS, cancer, diabetes, or who are undergoing immunosuppressive therapy
06
- People from countries with a high prevalence of tuberculosis
07
- Individuals planning to travel or move to areas with a high incidence of tuberculosis
08
It is important to consult with a healthcare professional to determine if tuberculosis screening is necessary in your specific situation.
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What is tuberculosis screening?
Tuberculosis screening is a process of testing individuals for the presence of tuberculosis infection to ensure early detection and treatment.
Who is required to file tuberculosis screening?
Individuals who are at risk of tuberculosis infection or have been exposed to tuberculosis may be required to undergo tuberculosis screening by healthcare providers or employers.
How to fill out tuberculosis screening?
Tuberculosis screening can be filled out by providing personal information, medical history, and undergoing diagnostic tests such as chest x-rays or tuberculin skin tests.
What is the purpose of tuberculosis screening?
The purpose of tuberculosis screening is to identify individuals who may be infected with tuberculosis in order to provide them with timely treatment and prevent the spread of the disease.
What information must be reported on tuberculosis screening?
Information such as personal details, medical history, test results, and contact information may need to be reported on tuberculosis screening forms.
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