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Get the free Tuberculosis (TB) Screening Questionnaire - SIUE

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Name: SIDE ID Number Tuberculosis (TB) Screening Questionnaire To be completed by incoming international students Please answer the following questions: Have you ever had close contact with persons
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Start by reading the questions carefully.
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Provide accurate and honest answers to each question.
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If you are unsure about any of the questions, consult a healthcare professional.
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Fill in the questionnaire using a pen or pencil, making sure your handwriting is legible.
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Who needs tuberculosis tb screening questionnaire?

01
Anyone who is suspected of having tuberculosis (TB) or has been in close contact with someone diagnosed with TB may need to fill out a TB screening questionnaire. Healthcare professionals, individuals working in high-risk settings such as healthcare facilities or correctional institutions, and people immigrating or traveling to countries with high TB prevalence are also generally required to undergo TB screening and fill out the questionnaire.
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Tuberculosis TB screening questionnaire is a form used to assess individuals for potential tuberculosis infection.
Individuals in certain high-risk settings or occupations may be required to file a tuberculosis TB screening questionnaire.
The tuberculosis TB screening questionnaire can be filled out by providing accurate information about one's medical history and potential exposure to tuberculosis.
The purpose of the tuberculosis TB screening questionnaire is to identify individuals who may be at risk for tuberculosis infection and to ensure appropriate testing and treatment.
Information on recent travel, exposure to individuals with tuberculosis, and symptoms of tuberculosis must be reported on the tuberculosis TB screening questionnaire.
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