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TEMPLATE: Customize as needed 05/2022 Baseline TB Screening Tool for Residents in Residential Hospice Date form completed: ___ Last name, first name, middle initial: ___ Sex: ___ Date of birth: ___
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How to fill out baseline tb screening tool

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How to fill out baseline tb screening tool

01
Review the baseline TB screening tool for the required information
02
Complete all sections accurately and thoroughly
03
Provide any necessary documentation or test results
04
Submit the completed baseline TB screening tool to the appropriate healthcare provider or organization

Who needs baseline tb screening tool?

01
Individuals who are at risk for TB infection or have been exposed to TB
02
Healthcare workers who may come into contact with individuals infected with TB
03
Patients starting certain medications that may increase the risk of developing active TB

What is Baseline TB Screening Tool for Residents in Residential ... Form?

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The baseline TB screening tool is a form used to assess an individual's risk of developing tuberculosis.
Certain individuals, such as healthcare workers, are required to file a baseline TB screening tool.
The baseline TB screening tool is typically filled out by answering a series of questions about the individual's medical history and potential exposure to TB.
The purpose of the baseline TB screening tool is to identify individuals who may be at risk for developing TB and to provide appropriate follow-up care.
Information such as the individual's medical history, potential exposure to TB, and any prior TB testing results must be reported on the baseline TB screening tool.
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