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TB SCREENING FORM HEALTH CENTER | Granite Center | 470 Western Highway, Orange burg, NY 10962 | Phone: (845) 8487918 | Fax: (845) 3597227Name: ___ Student ID #: ___ Date: ___THIS TB SCREENING QUESTIONNAIRE
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How to fill out tuberculosis testing form
How to fill out tuberculosis testing form
01
Start by providing the necessary personal information such as name, date of birth, and contact details.
02
Indicate any relevant medical history, especially if you have been in contact with someone diagnosed with tuberculosis.
03
Answer the screening questions honestly, including symptoms you may be experiencing such as coughing, chest pain, and weight loss.
04
If required, provide a sputum sample for further testing.
05
Submit the completed form to healthcare provider for review and interpretation of results.
Who needs tuberculosis testing form?
01
Individuals who are showing symptoms of tuberculosis
02
Individuals who have been in close contact with someone diagnosed with tuberculosis
03
Healthcare workers who may be exposed to tuberculosis patients
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What is tuberculosis testing form?
Tuberculosis testing form is a document used to report the results of tuberculosis testing for individuals.
Who is required to file tuberculosis testing form?
Healthcare providers and facilities are required to file tuberculosis testing form for patients who have undergone testing.
How to fill out tuberculosis testing form?
Tuberculosis testing form can be filled out by entering the patient's information, test results, and any other required details.
What is the purpose of tuberculosis testing form?
The purpose of tuberculosis testing form is to track and monitor tuberculosis cases for public health purposes.
What information must be reported on tuberculosis testing form?
Information such as patient demographics, test results, date of testing, and provider information must be reported on tuberculosis testing form.
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