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Admissions and Records 2277 Napa-Vallejo Highway, Napa, Ca. 94558 707.256.7201 ? Fax 707.253.3064 High School Special Admit Student Overload Please print clearly. All blanks must be filled-in for
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To begin filling out the TB screening formdoc, gather all necessary information such as personal details, medical history, and contact information.
02
Start by entering your full name, date of birth, and gender in the designated spaces on the formdoc.
03
Provide your contact information including your current address, phone number, and email address if applicable.
04
Move on to the section where you will be asked about your medical history. Fill in any previous diagnosis of tuberculosis or any related respiratory conditions.
05
If you have previously received treatment for tuberculosis, make sure to provide details about the medication, treatment duration, and any possible side effects.
06
The formdoc may inquire about any recent exposure to tuberculosis-infected individuals or high-risk settings such as healthcare facilities or correctional institutions.
07
It is important to disclose if you are currently experiencing any symptoms related to tuberculosis, such as persistent cough, fatigue, weight loss, or night sweats.
08
Indicate any recent travel history, especially if you have visited areas with a high prevalence of tuberculosis.
09
In the final section of the formdoc, sign and date it to validate the information provided.
10
Keep in mind that the screening formdoc is typically required for various individuals, including those applying for certain jobs, immigration purposes, or individuals who may have been in close contact with someone diagnosed with tuberculosis.
11
Employers in healthcare settings, schools, or other institutions that require close contact with vulnerable populations often request TB screening forms to ensure the safety of their staff and clients.
12
Immigration authorities may also require TB screening forms to assess the risk of importing tuberculosis cases into a new country.
13
Additionally, individuals who have been in close contact with someone diagnosed with active tuberculosis may need to fill out a TB screening form as a precautionary measure.
14
It's important to follow the specific guidelines provided by the requesting organization or institution when filling out the TB screening formdoc to ensure accuracy and compliance.
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Tb screening formdoc is a document used to screen individuals for tuberculosis.
Individuals who are at risk for tuberculosis or are required by their employer or healthcare provider.
Tb screening formdoc can be filled out by providing personal information, medical history, and completing the required screening questions.
The purpose of tb screening formdoc is to assess the risk of tuberculosis infection in individuals.
Information such as personal details, medical history, exposure to tuberculosis, and symptoms must be reported on tb screening formdoc.
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