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MONTANADPMONTANACOMMUNICABLE DISEASEHealthy People. Healthy Communities. OEPA rtmentolPvblicHeollh l Human Sen “icesAdult Tuberculosis Risk Assessment Use this tool to identify asymptomatic adults
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01
To fill out Montana Adult TB risk assessment form, follow these steps:
02
Download the Montana Adult TB risk assessment form from the official Montana Department of Public Health website.
03
Read the instructions and familiarize yourself with the questions and requirements.
04
Begin by entering your personal information, such as your name, date of birth, and contact details.
05
Proceed to answer the series of questions regarding your medical history, previous TB exposure, and current symptoms.
06
Provide accurate and complete responses, ensuring that all the required fields are filled.
07
If you are unsure about any question, it is recommended to consult a healthcare professional for guidance.
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Once you have completed the form, review your answers to ensure accuracy.
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Sign and date the form as required.
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Submit the filled-out Montana Adult TB risk assessment form to the designated authorities or healthcare provider.
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Keep a copy of the form for your records.

Who needs montana adult tb risk?

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The Montana Adult TB risk assessment form is required for individuals who meet the following criteria:
02
- Residents of Montana
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- Adults aged 18 and above
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- Individuals who may have been exposed to tuberculosis (TB) through contact with an infected person
05
- Individuals seeking healthcare services in Montana
06
- Individuals exhibiting symptoms associated with TB, such as persistent cough, chest pain, weight loss, fatigue, etc.
07
It is recommended that anyone falling into the above categories should complete the Montana Adult TB risk assessment form to determine their potential risk and assist in early detection and treatment of TB.
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Montana adult TB risk refers to the assessment of tuberculosis (TB) exposure and prevalence among adults in Montana, which helps determine the necessity and extent of TB testing and preventative measures.
Individuals who are at risk of TB exposure, including certain healthcare workers, and those living in high-risk areas, are required to file Montana adult TB risk assessments.
To fill out the Montana adult TB risk assessment, individuals must complete the designated form with personal and health information, detailing any known exposures or risk factors related to tuberculosis.
The purpose of the Montana adult TB risk assessment is to identify individuals who may be at risk of tuberculosis and ensure they receive appropriate screening and preventive measures.
The report must include personal identification information, details of potential TB exposure, vaccination history, and any symptoms indicative of tuberculosis.
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