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TUBERCULOSIS (TB) SCREENING FORM This form should be completed directly online in the Patient Portal. If you complete the online form, you DO NOT need to print, complete, and upload this form. Student
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How to fill out tb screening and testing

01
To fill out TB screening and testing, follow these steps:
02
Obtain the necessary forms or documents for the screening and testing process.
03
Provide personal information such as name, date of birth, and contact details.
04
Answer detailed questions about your medical history, including any prior TB infections or treatments.
05
Undergo a physical examination, which may involve checking for symptoms like coughing, chest pain, and weight loss.
06
Provide a sputum sample for laboratory testing, which may include collecting multiple samples on different days.
07
Follow any additional instructions provided by the healthcare professional conducting the screening and testing.
08
Wait for the results, which will determine if further testing or treatment is required.
09
Follow up with healthcare professionals as necessary based on the results and their recommendations.

Who needs tb screening and testing?

01
TB screening and testing is typically recommended for individuals who:
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- Have been in contact with someone known to have active tuberculosis.
03
- Have recently immigrated from a country with a high prevalence of tuberculosis.
04
- Work or live in environments where they are at higher risk of contracting tuberculosis (e.g., healthcare workers, correctional facility employees, homeless shelter residents).
05
- Have weakened immune systems due to conditions like HIV/AIDS or certain medical treatments (e.g., chemotherapy, organ transplantation).
06
- Have symptoms consistent with tuberculosis, such as persistent cough, night sweats, weight loss, and chest pain.
07
It is important to consult with a healthcare professional to determine if you require TB screening and testing based on your specific circumstances.
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TB screening and testing is a process used to detect the presence of tuberculosis infection in individuals.
Certain individuals, such as healthcare workers and individuals at high risk for TB, are required to undergo TB screening and testing.
TB screening and testing can be filled out by a healthcare provider or through a TB testing facility.
The purpose of TB screening and testing is to identify individuals who may have been infected with TB and to provide appropriate treatment.
TB screening and testing usually includes personal information, medical history, and test results.
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