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Employee/Occupational Health Tuberculosis (TB) Screening First Name ___ Last Name___ Date of Birth: ___ Home Address: ___City: ___State:___ Zip:___ Last 4 SS#: ___ Cell phone #___Work # ___ Email:___
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What is tb-questionnaire-formpdffillercomprintable tb questionnaire?
The tb-questionnaire-formpdffillercomprintable tb questionnaire is a form used to gather information related to tuberculosis.
Who is required to file tb-questionnaire-formpdffillercomprintable tb questionnaire?
Individuals who are suspected of having tuberculosis or who have been exposed to tuberculosis may be required to fill out the form.
How to fill out tb-questionnaire-formpdffillercomprintable tb questionnaire?
The form can be filled out online or printed and completed manually. It requires providing information about exposure to tuberculosis and any symptoms.
What is the purpose of tb-questionnaire-formpdffillercomprintable tb questionnaire?
The purpose of the form is to assess the risk of tuberculosis infection and to provide necessary follow-up and treatment.
What information must be reported on tb-questionnaire-formpdffillercomprintable tb questionnaire?
The form requires information about the individual's contact with tuberculosis patients, any symptoms of tuberculosis, and medical history related to tuberculosis.
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