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California Tuberculosis Risk Assessment
College and University Students this tool to identify asymptomatic college or university students for latent TB infection (TBI) testing. Do not repeat testing
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How to fill out california tuberculosis risk assessment

How to fill out california tuberculosis risk assessment
01
To fill out the California Tuberculosis Risk Assessment form, follow these steps:
02
Start by providing your personal details such as your name, date of birth, address, and contact information.
03
Indicate your occupation and the type of work you do.
04
Answer the questions related to your medical history, including any previous tuberculosis infections or exposure to tuberculosis.
05
Provide information about any current symptoms or signs of tuberculosis you may be experiencing.
06
If you have undergone any tuberculosis tests, mention the dates and results of those tests.
07
Answer any additional questions about your lifestyle, travel history, or potential risk factors for tuberculosis.
08
Once you have completed the form, review your answers to ensure accuracy and completeness.
09
Finally, sign and date the form to certify that the information provided is true and accurate.
10
Submit the filled-out form to the appropriate authority or healthcare provider as instructed.
Who needs california tuberculosis risk assessment?
01
Anyone who meets the following criteria needs to fill out the California Tuberculosis Risk Assessment:
02
- Individuals who are applying for or renewing a license or working in healthcare-related settings (e.g., hospitals, clinics, nursing homes).
03
- Individuals who have been exposed to tuberculosis or have a history of tuberculosis.
04
- Individuals with symptoms of tuberculosis or who are at high risk of contracting tuberculosis.
05
- Individuals who have recently travelled to areas with a high prevalence of tuberculosis.
06
- Individuals who are required to undergo tuberculosis screening as part of their job or education.
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What is california tuberculosis risk assessment?
California tuberculosis risk assessment is a process to evaluate the risk of tuberculosis transmission in various settings, such as healthcare facilities, correctional facilities, and schools.
Who is required to file california tuberculosis risk assessment?
Healthcare facilities, correctional facilities, and schools are required to file California tuberculosis risk assessment.
How to fill out california tuberculosis risk assessment?
California tuberculosis risk assessment can be filled out by providing information on the facility's tuberculosis screening and prevention measures.
What is the purpose of california tuberculosis risk assessment?
The purpose of California tuberculosis risk assessment is to prevent the transmission of tuberculosis in high-risk settings.
What information must be reported on california tuberculosis risk assessment?
Information on tuberculosis screening protocols, employee training, and testing results must be reported on California tuberculosis risk assessment.
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