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Tuberculosis (TB) Clearance Forename (please print) ___UNIVERSITY HEALTH SERVICES UNIVERSITY OF MASSACHUSETTS BOSTON(MM/DD/BY) Date of Birth ___ Student ID# ___Part I. Clinical Assessment by Health
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How to fill out tb testing and history
How to fill out tb testing and history
01
Obtain a TB testing form from a healthcare provider or clinic
02
Fill out personal information including name, date of birth, address, and contact information
03
Provide details on any previous TB testing history or known TB exposure
04
Answer questions related to symptoms of tuberculosis such as coughing, chest pain, fever, and weight loss
05
Follow the instructions provided by the healthcare provider for submitting the completed form
Who needs tb testing and history?
01
Individuals who are at high risk for tuberculosis infection
02
Healthcare workers who are in contact with patients who have TB
03
People with weakened immune systems such as those living with HIV/AIDS
04
Individuals who have traveled to countries with high rates of TB
05
Residents of congregate settings such as prisons or homeless shelters
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What is tb testing and history?
TB testing and history is a process of screening individuals for tuberculosis infection or disease, as well as documenting their previous TB test results and treatment history.
Who is required to file tb testing and history?
Certain groups of individuals, such as healthcare workers, immigrants, and individuals living or working in congregate settings, are required to file TB testing and history.
How to fill out tb testing and history?
To fill out TB testing and history, individuals need to provide details of their previous TB tests, treatment history, and any relevant medical information on the designated form.
What is the purpose of tb testing and history?
The purpose of TB testing and history is to screen for tuberculosis infection, track treatment history, and prevent the spread of TB to others.
What information must be reported on tb testing and history?
The information that must be reported on TB testing and history includes previous TB test results, treatment history, medical conditions, and risk factors for TB infection.
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