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California Tuberculosis (TB) Risk Assessment A TB screening tool to be administered by licensed healthcare providers this form to identify asymptomatic adults for latent TB infection (TBI) testing.* Retest

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How to fill out california tuberculosis tb risk

01

To fill out California Tuberculosis (TB) Risk, follow these steps:

02

Start by providing personal information such as name, address, and contact details.

03

Next, answer the questions related to your current health condition and any previous history of TB.

04

If you have been diagnosed with TB in the past, provide details about the treatment you received.

05

Answer questions regarding your recent travel history, especially if you have visited countries with a high incidence of TB.

06

Complete the section related to your occupation and work environment, as certain industries may pose a higher risk for TB exposure.

07

Finally, review your answers and make sure all the information provided is accurate before submitting the form.

Who needs california tuberculosis tb risk?

01

California Tuberculosis (TB) Risk form is required for individuals who:

02

- Reside in California

03

- Have a suspected or confirmed TB infection

04

- Are at high risk of TB exposure due to their occupation or recent travel history

05

- Have been in contact with someone diagnosed with TB

06

- Are seeking employment in certain industries that require TB screening

07

It is important to consult with a healthcare professional or the relevant authorities to determine if you need to fill out this form.

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