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Effective Date: 04/11/2018Job Aid: Immunization and TB Screening Record for Nonstop staff Please print clearly Name Date of Birth(Last, First, M.I.):Today's DateDepartment/Program/Contractor: CHOP
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How to fill out immunization and tb screening

01
To fill out immunization form:
02
- Gather all necessary immunization records.
03
- Fill out the personal information section.
04
- Input the dates and names of each immunization received.
05
- Sign and date the form.
06
To fill out tb screening form:
07
- Fill out the personal information section.
08
- Answer all the questions regarding symptoms or exposure to tuberculosis.
09
- Sign and date the form.

Who needs immunization and tb screening?

01
Immunization is needed by individuals of all ages, especially infants, children, and adolescents who require routine vaccinations to protect against preventable diseases.
02
TB screening is usually required for individuals who are at high risk of tuberculosis infection or have symptoms related to tuberculosis, such as persistent cough, weight loss, fatigue, fever, etc.
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Immunization is the process by which a person is made immune or resistant to an infectious disease, typically by the administration of a vaccine. TB screening is a test used to determine if a person has been infected with tuberculosis bacteria.
Immunization and TB screening requirements vary by location and organization, but typically, students, healthcare workers, and immigrants are required to file immunization and TB screening records.
To fill out immunization and TB screening forms, you will need to provide information about the vaccines you have received, the dates they were administered, and the results of your TB screening test.
The purpose of immunization is to protect individuals from infectious diseases, while the purpose of TB screening is to identify and treat individuals who have been infected with tuberculosis bacteria.
Information that must be reported on immunization and TB screening forms typically includes vaccine names, dates of administration, TB screening results, and any other relevant medical history.
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