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___ Last Name, First Name___ Date of BirthWellness CenterTUBERCULOSIS SCREENING TO BE COMPLETED BY HEALTH CARE PROVIDER ONLY Tuberculosis screening is required of all students entering Dickinson College,
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How to fill out tuberculosis screening to be

01
To fill out a tuberculosis screening form, follow these steps:
02
Start by providing your personal information, including your full name, date of birth, and contact details.
03
Next, answer the questions regarding your medical history. Be honest and provide accurate information about any previous tuberculosis infections or treatments.
04
If you have had contact with someone who has tuberculosis, indicate this in the form.
05
Provide information about your recent travel history, especially if you have traveled to areas with a high prevalence of tuberculosis.
06
Complete any additional sections or questions on the form as required.
07
Double-check your form for any errors or missing information before submitting it.
08
Submit the completed tuberculosis screening form to the relevant healthcare facility or organization as instructed.

Who needs tuberculosis screening to be?

01
Tuberculosis screening is generally recommended for the following individuals:
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- People who have recently been in close contact with someone diagnosed with tuberculosis
03
- Individuals with symptoms of tuberculosis, such as persistent cough, weight loss, night sweats, and fatigue
04
- Individuals who have a weakened immune system due to conditions like HIV/AIDS, cancer, or organ transplantation
05
- People who have traveled to or lived in areas with a high prevalence of tuberculosis
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- Healthcare workers and individuals who work in close contact with vulnerable populations, such as prisoners or homeless individuals
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- Individuals who have been notified of a positive tuberculosis skin test and need further evaluation
08
- People who are planning to immigrate to countries with mandatory tuberculosis screening requirements
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Tuberculosis screening is a medical test to identify individuals infected with the tuberculosis bacteria.
Certain high-risk groups such as healthcare workers or individuals living in congregate settings may be required to undergo tuberculosis screening.
Tuberculosis screening can be filled out by a healthcare provider who will administer the test and report the results.
The purpose of tuberculosis screening is to identify and treat individuals infected with tuberculosis to prevent the spread of the disease.
The results of the tuberculosis screening test, including whether the individual is positive or negative for tuberculosis, must be reported.
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