Get the free Tuberculin Skin Test Form

School Employee/Individual Certificate of Evaluation for TuberculosisName: LastFirstM. I. CityResidence AddressPublic or private school, kindergarten, nursery or day ca recenter of current employment

How to fill out tuberculin skin test form

How to fill out tuberculin skin test form

1. Start by identifying the patient's information section on the form. This includes fields such as name, date of birth, and address. Fill in these details accurately.
2. Move on to the medical history section, if available. Answer any questions related to previous tuberculosis infection or treatment.
3. Proceed to the administration of test section. Record the date and time of test administration.
4. In the next section, document the type and size of the tuberculin used for the test.
5. Write down the specific area of the forearm where the test was administered.
6. Record the patient's reaction to the test, including the size and appearance of any raised area or redness at the injection site.
7. Document any additional notes or observations related to the test.
8. Finally, ensure to sign and date the form to authenticate the information provided.

Who needs tuberculin skin test form?

1. Tuberculin skin test forms are typically needed for individuals who are being screened for tuberculosis infection, such as:
2. - Healthcare workers
3. - Individuals with known exposure to tuberculosis
4. - People with symptoms suggestive of tuberculosis
5. - High-risk groups like individuals with compromised immune systems or those living in crowded settings

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What is tuberculin skin test form?

The tuberculin skin test form is a medical test used to detect a past or current infection with the bacteria that causes tuberculosis.

Who is required to file tuberculin skin test form?

Individuals who are at risk of being exposed to tuberculosis, such as healthcare workers or individuals in close contact with someone who has tuberculosis, may be required to file a tuberculin skin test form.

How to fill out tuberculin skin test form?

The tuberculin skin test form typically requires information about the individual being tested, the date of the test, the result of the test, and the signature of the healthcare provider who administered the test.

What is the purpose of tuberculin skin test form?

The purpose of the tuberculin skin test form is to help healthcare providers identify individuals who may have been exposed to tuberculosis and may require further testing or treatment.

What information must be reported on tuberculin skin test form?

The tuberculin skin test form may require information such as the individual's name, date of birth, date of the test, the size of the reaction at the test site, and the interpretation of the test result.