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TUBERCULOSIS (TB) SCREENING FORM UPLOAD FORM TO: Student Health Portal at https://union.studenthealthportal.com Student Name: Date of Birth: / / Student ID # Student cell phone: STEP 1: PLEASE ANSWER

How to fill out tuberculosis tb screening form

How to fill out tuberculosis tb screening form

1. To fill out a tuberculosis (TB) screening form, follow these steps:
2. Start by providing your personal information such as your full name, date of birth, and contact details.
3. Indicate your current address and provide any previous addresses if applicable.
4. Specify your occupation and employer information.
5. Answer the questions regarding your medical history, including any previous TB diagnoses or treatments.
6. Provide information about any recent exposure to TB, such as contact with individuals diagnosed with TB.
7. Answer questions about common symptoms of TB, such as coughing, weight loss, fever, and night sweats.
8. If you have undergone any TB tests, mention the type of test, date, and results.
9. Mention any other relevant medical conditions or medications you are currently taking.
10. Sign and date the form, indicating that all the provided information is true and accurate.
11. Submit the completed form to the appropriate healthcare provider or organization.

Who needs tuberculosis tb screening form?

1. Anyone who falls under the following categories may need to fill out a tuberculosis (TB) screening form:
2. - Individuals who have symptoms of TB or have been in close contact with someone diagnosed with TB.
3. - People who work or live in environments where the risk of TB exposure is high, such as healthcare workers, prison workers, and homeless shelter residents.
4. - Individuals planning to travel or immigrate to regions with a high prevalence of TB.
5. - Patients undergoing certain medical treatments or procedures that weaken the immune system.
6. - Individuals required by their employer or educational institution to undergo TB screening.

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What is tuberculosis tb screening form?

The tuberculosis tb screening form is a document used to assess individuals for tuberculosis, a contagious bacterial infection that primarily affects the lungs.

Who is required to file tuberculosis tb screening form?

Individuals at high risk for tuberculosis, such as healthcare workers, immigrants, and those in close contact with infected individuals, are required to file the tuberculosis tb screening form.

How to fill out tuberculosis tb screening form?

The tuberculosis tb screening form must be completed by providing personal information, medical history, and undergoing a physical examination and possibly a tuberculin skin test.

What is the purpose of tuberculosis tb screening form?

The purpose of the tuberculosis tb screening form is to identify individuals who may have active tuberculosis or who have been exposed to the bacteria, in order to prevent the spread of the disease.

What information must be reported on tuberculosis tb screening form?

Information such as personal details, medical history, recent travel to high-risk areas, symptoms of tuberculosis, and results of any diagnostic tests must be reported on the tuberculosis tb screening form.