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Occupational Health Services 4801 Alberta Ave. El Paso, Texas 79905 Phone: (915) 5214429 Fax: (915) 5456680TUBERCULOSIS SCREENING FORM Last Name: First Name: Date of Birth: / / Department: This form
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How to fill out tuberculosis screening form

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How to fill out tuberculosis screening form

01
Step 1: Obtain a tuberculosis screening form from a healthcare provider or download it from a reliable source.
02
Step 2: Read the instructions on the form carefully to understand the requirements and guidelines.
03
Step 3: Fill in your personal information accurately, including your full name, date of birth, and contact details.
04
Step 4: Provide information about your medical history, including any previous tuberculosis diagnosis or treatment.
05
Step 5: Answer all the screening questions honestly and to the best of your knowledge.
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Step 6: If required, provide additional documentation or test results to support your screening form.
07
Step 7: Review the completed form for any errors or omissions before submitting it.
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Step 8: Submit the filled-out tuberculosis screening form to the designated healthcare provider or organization.
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Step 9: Follow any further instructions provided by the healthcare provider regarding the screening process.
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Step 10: Keep a copy of the filled-out form for your records.

Who needs tuberculosis screening form?

01
Individuals who are required to undergo tuberculosis screening as per the guidelines of healthcare authorities or specific organizations.
02
People who have been exposed to individuals with tuberculosis or have shown symptoms of tuberculosis.
03
Anyone who is seeking employment or admission to educational institutions that mandate tuberculosis screening.
04
Individuals who are planning to travel to regions with a higher prevalence of tuberculosis may need to fill out a tuberculosis screening form.
05
Certain occupations, such as healthcare workers or employees in correctional facilities, may require regular tuberculosis screening.
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The tuberculosis screening form is a document used to assess an individual's risk of tuberculosis infection.
Individuals who work in healthcare settings or prisons may be required to file a tuberculosis screening form.
To fill out a tuberculosis screening form, individuals typically provide information about their medical history and undergo a physical examination or tuberculosis test.
The purpose of the tuberculosis screening form is to identify individuals who may be at risk of tuberculosis infection and to provide appropriate treatment or prevention measures.
Information such as medical history, tuberculosis test results, and exposure to tuberculosis may be reported on the tuberculosis screening form.
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