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Form C: TB Risk Assessment and Symptom Survey Student completes questionnaire with review and signature from provider.Name: ___ DOB: ___ TUC Program: ___ Graduating Year: ___ Phone: ___ Touro Student

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Gather all necessary information required to fill out the form C TB risk.

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Who needs form c tb risk?

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Individuals or organizations involved in tuberculosis screening or diagnosis

02

Healthcare professionals working in tuberculosis control programs

03

Public health officials monitoring tuberculosis cases

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What is form c tb risk?

Form C TB Risk is a form used to report the tuberculosis risk assessment for individuals incarcerated or otherwise detained in a correctional facility.

Who is required to file form c tb risk?

Healthcare providers in correctional facilities are required to file form C TB Risk for individuals incarcerated or otherwise detained in the facility.

How to fill out form c tb risk?

Form C TB Risk is typically filled out by healthcare providers who conduct a tuberculosis risk assessment for individuals in correctional facilities. The form requires information about the individual's medical history, tuberculosis test results, and risk factors.

What is the purpose of form c tb risk?

The purpose of Form C TB Risk is to assess and identify individuals at risk for tuberculosis in correctional facilities, in order to prevent the spread of the disease.

What information must be reported on form c tb risk?

Information such as the individual's medical history, tuberculosis test results, and risk factors must be reported on Form C TB Risk.

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