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USAHC Tuberculosis Screening Immunization Form for International free printable template

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Student Health Center Tuberculosis Screening & Immunization Form for International Students ALL NEW INTERNATIONAL AND ESL STUDENTS MUST: 1. Provide proof of adequate immunization against certain diseases.
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How to fill out USAHC Tuberculosis Screening & Immunization Form for International

01
Obtain the USAHC Tuberculosis Screening & Immunization Form for International from the designated authority or website.
02
Fill in your personal information, including full name, date of birth, and contact details.
03
Indicate your country of origin and the purpose of your stay in the USA.
04
Complete the tuberculosis (TB) screening section by answering the questions accurately regarding your health history.
05
Provide details of any past immunizations, particularly for TB, and attach relevant medical records if necessary.
06
If required, obtain a signature from a healthcare provider to certify your health status regarding TB.
07
Review the form thoroughly for completeness and accuracy before submission.
08
Submit the completed form to the appropriate office or healthcare provider as instructed.

Who needs USAHC Tuberculosis Screening & Immunization Form for International?

01
Anyone intending to travel, study, or work in the USA who has been in a country with a high incidence of tuberculosis.
02
International students applying to educational institutions in the USA.
03
Immigrants and refugees seeking permanent residency in the USA.
04
Healthcare workers who may be exposed to TB in their profession.
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The USAHC Tuberculosis Screening & Immunization Form for International is a document required for individuals traveling internationally, which assesses their tuberculosis (TB) status and vaccination records.
Individuals planning to travel to certain countries or those who have a history of potential TB exposure are typically required to file this form.
To fill out the form, the individual must provide information about their personal details, medical history regarding TB exposure and vaccination, and any relevant travel information.
The purpose of the form is to ensure that individuals are screened for tuberculosis, to prevent the spread of TB during international travel, and to document immunization status.
The information that must be reported includes personal identification details, medical history regarding TB, vaccination dates, and any prior TB treatment or exposure history.
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