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FOLSOM CORDOVA UNIFIED SCHOOL DISTRICT Human Resources 1965 Vermont Drive Rancho Cordova, CA 95742 (916) 2949000 TUBERCULOSIS HEALTH QUESTIONNAIRE Our records show you to be skin test positive for
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How to fill out tuberculosis health questionaire

01
To fill out a tuberculosis health questionnaire, follow these steps:
02
Start by providing your personal information, such as your name, date of birth, and contact details.
03
Answer questions about your medical history, including any previous diagnosis of tuberculosis or exposure to the disease.
04
Provide information about your current symptoms, if any, such as coughing, chest pain, fatigue, or weight loss.
05
Share details about any recent travel to areas known for tuberculosis prevalence.
06
Answer questions related to your lifestyle and habits, such as smoking or alcohol consumption.
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If applicable, provide information about any recent contact with individuals diagnosed with tuberculosis.
08
Review your answers carefully to ensure accuracy and completeness.
09
Submit the completed tuberculosis health questionnaire to the designated healthcare authority or medical facility.
10
Remember to answer all questions honestly and to the best of your knowledge.
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Consult a healthcare professional if you have any doubts or concerns while filling out the questionnaire.

Who needs tuberculosis health questionaire?

01
The tuberculosis health questionnaire is typically needed by individuals who fall under one or more of the following categories:
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- Individuals experiencing symptoms suggestive of tuberculosis, such as persistent cough, chest pain, weight loss, or fatigue.
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- Individuals who have been exposed to someone diagnosed with tuberculosis.
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- Individuals with a history of tuberculosis or previous treatment for the disease.
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- Individuals traveling to or residing in areas with high tuberculosis prevalence.
06
- Individuals being assessed for employment or participation in activities where tuberculosis screening is required.
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It's important to consult with healthcare authorities or medical professionals to determine if you specifically need to fill out a tuberculosis health questionnaire.
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The tuberculosis health questionnaire is a document used to assess an individual's risk of having or being exposed to tuberculosis (TB). It typically includes questions about symptoms, medical history, and possible contact with TB-infected individuals.
Individuals who are at high risk for tuberculosis exposure, such as healthcare workers, international travelers, and individuals in close contact with TB patients, are often required to file the tuberculosis health questionnaire.
To fill out the tuberculosis health questionnaire, individuals should carefully read the questions, provide accurate and honest answers regarding their health history, symptoms, and any known exposure to TB. It is important to complete all sections of the questionnaire.
The purpose of the tuberculosis health questionnaire is to identify individuals who may be at risk for tuberculosis infection, to facilitate early detection and treatment, and to prevent the spread of TB.
The information that must be reported includes personal identification details, medical history, any current symptoms related to TB (such as cough, fever, weight loss), and any known exposure to TB.
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