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Bentley University Tuberculosis (TB) Medical Provider Form This form is only required if the Tb Risk Assessment had a yes response. Name:Male Lactate:/ / DOB: / / Females. l. FirstCountry of Birth:
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How to fill out bentley university tuberculosis tb

01
Obtain the Bentley University Tuberculosis (TB) form from the university's health services department.
02
Fill out your personal information, including your name, date of birth, and contact details.
03
Provide your medical history, including any previous TB diagnoses or treatments.
04
Answer all the questions regarding your symptoms, such as coughing, chest pain, and loss of appetite.
05
If you have any underlying health conditions or if you have been in close contact with someone diagnosed with TB, make sure to mention it on the form.
06
Sign and date the form to confirm the accuracy of the provided information.
07
Submit the completed Bentley University TB form to the health services department for review and further instructions.

Who needs bentley university tuberculosis tb?

01
Anyone who is a student, faculty, or staff member of Bentley University and has been identified as having a potential risk of tuberculosis (TB) infection or exposure may need to fill out the Bentley University TB form. This includes individuals who have exhibited symptoms related to TB or have been in close contact with someone diagnosed with TB.
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Bentley University Tuberculosis TB is a report related to tuberculosis cases within Bentley University.
The health department or designated healthcare provider of Bentley University is required to file the report.
The report can be filled out online or by submitting a paper form with the required information about tuberculosis cases.
The purpose of the Bentley University Tuberculosis TB report is to monitor and track tuberculosis cases within the university community.
The report must include information about the number of tuberculosis cases, affected individuals, and any treatment provided.
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