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Inflectra (infliximabdyyb) Order Form Please include the following (required): 1. Patient Demographics & Insurance Information 2. Clinical/Progress Notes, Labs, Tests supporting primary diagnosis

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How to fill out tb screening and hepatitis

01

For TB screening, fill out the form with your personal information including name, date of birth, and contact information.

02

Answer the questions about your medical history and any recent symptoms related to TB.

03

If required, provide a sample of sputum for testing.

04

For Hepatitis screening, fill out the form with your personal information and answer questions about your medical history including any risk factors for Hepatitis.

05

Provide a blood sample for testing if necessary.

Who needs tb screening and hepatitis?

01

Individuals who are at high risk for TB such as healthcare workers, individuals living in congregate settings, and those in close contact with someone who has TB.

02

Individuals who are at high risk for Hepatitis such as healthcare workers, individuals who inject drugs, individuals with multiple sexual partners, and individuals with a history of liver disease.

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What is tb screening and hepatitis?

TB screening is a medical test to detect tuberculosis infection in a person, while hepatitis refers to the inflammation of the liver caused by viruses, toxins, or autoimmune diseases.

Who is required to file tb screening and hepatitis?

Individuals who are at risk for tuberculosis and certain healthcare professionals or students in health-related fields are often required to file TB screening and hepatitis records.

How to fill out tb screening and hepatitis?

To fill out TB screening and hepatitis forms, individuals should provide personal information, medical history, and results of any relevant tests, ensuring all fields are completed accurately.

What is the purpose of tb screening and hepatitis?

The purpose of TB screening is to identify and treat tuberculosis early to prevent its spread, while hepatitis screening aims to detect liver inflammation and initiate appropriate care.

What information must be reported on tb screening and hepatitis?

Required information typically includes personal identification details, medical history, results of TB tests (like the Mantoux test or IGRA), and hepatitis serology results.

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