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Annual/Periodic TB Symptom and Risk Assessment: Established Patient with a Prior Positive TB Test and Incomplete or No Prior Treatment Patient Name: Birth Date: Medical Record #: TB SYMPTOM REVIEW:

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How to fill out annualperiodic tb symptom and

01

Start by gathering all the necessary information about your TB symptoms from the past year.

02

Make sure you have a copy of the annual periodic TB symptom form.

03

Fill out your personal information accurately, including your name, date of birth, and contact information.

04

Next, provide details about any TB symptoms you have experienced during the year.

05

Write down the date when each symptom started and describe the symptom in detail.

06

If you have been diagnosed with TB, provide information about your treatment and any medications you have been taking.

07

Finally, review the form to ensure all the information is accurate and complete before submitting it.

Who needs annualperiodic tb symptom and?

01

Anyone who has had TB symptoms or has been diagnosed with TB during the past year needs to fill out the annual periodic TB symptom form. This includes individuals who have completed their TB treatment as well as those who are currently under treatment. It is essential for monitoring the progress of treatment and evaluating the effectiveness of TB control programs.

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What is annual periodic tb symptom and?

Annual periodic tb symptom and refers to the symptoms of tuberculosis that occur on a yearly basis.

Who is required to file annual periodic tb symptom and?

All individuals who are at risk of contracting tuberculosis are required to file annual periodic tb symptom and.

How to fill out annual periodic tb symptom and?

To fill out annual periodic tb symptom and, individuals must report any symptoms related to tuberculosis they have experienced in the past year.

What is the purpose of annual periodic tb symptom and?

The purpose of annual periodic tb symptom and is to monitor the health status of individuals at risk of tuberculosis and to prevent the spread of the disease.

What information must be reported on annual periodic tb symptom and?

The information that must be reported on annual periodic tb symptom and includes any symptoms related to tuberculosis that the individual has experienced in the past year.

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