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Occupational HealthTuberculosis (TB) Screening Former OFFICE USE ONLY Reason for completing: (Please check one) Contact Tracing New Hire/Rehire (if applicable) New Hire/Rehire with prior positive

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Anyone who is required to fill out the form for a specific purpose, such as applying for a job, applying for a permit, or submitting important information.

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Instructions for completing a form are guidelines that provide detailed steps on how to accurately fill out the form.

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