Indiana University South Bend TB Questionnaire 2015-2025 free printable template
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The School of Nursing at IU South Bend offers both undergraduate and graduate programs. Our undergraduate degree programs are designed for both those ...
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How to fill out Indiana University South Bend TB Questionnaire
How to fill out Indiana University South Bend TB Questionnaire
01
Begin by obtaining the Indiana University South Bend TB Questionnaire form from the official university website or health services office.
02
Fill in your personal information, including your name, date of birth, and student identification number.
03
Answer the questions regarding your medical history, focusing on any past TB infections or treatments.
04
Provide information about any symptoms you may have experienced related to TB, such as coughing, fever, or unexplained weight loss.
05
Indicate any recent travel history, especially to areas where TB is prevalent.
06
If applicable, include details about previous TB screenings or test results.
07
Review the completed questionnaire for accuracy and completeness.
08
Submit the questionnaire to the appropriate health services office as instructed.
Who needs Indiana University South Bend TB Questionnaire?
01
Students who are new to Indiana University South Bend and are in programs that require TB screening.
02
Individuals living in or entering university dormitories.
03
Students who have recently traveled to countries with high TB rates.
04
Those with a history of TB or who have been in contact with someone diagnosed with TB.
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What is Indiana University South Bend TB Questionnaire?
It is a health assessment tool used to evaluate the risk of tuberculosis (TB) among students and staff at Indiana University South Bend.
Who is required to file Indiana University South Bend TB Questionnaire?
Students, faculty, and staff who have potential exposure to tuberculosis, particularly those in health-related programs, are required to file this questionnaire.
How to fill out Indiana University South Bend TB Questionnaire?
The questionnaire can be filled out online or in paper format, requiring individuals to provide personal information and answer questions related to TB exposure and symptoms.
What is the purpose of Indiana University South Bend TB Questionnaire?
The purpose is to assess the risk of TB infection, ensure the health and safety of the campus community, and facilitate necessary follow-up for those at risk.
What information must be reported on Indiana University South Bend TB Questionnaire?
Individuals must report personal demographic information, any history of TB exposure, prior TB testing results, and current health symptoms related to TB.
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