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This document is a request for TB screening information from a primary care provider for clients entering long-term care or facility respite.
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A request for tuberculosis screening is a formal application or indication that an individual or organization seeks to undergo testing for tuberculosis (TB) to determine if they are infected with the bacteria that causes the disease.
Individuals who are at higher risk for tuberculosis, including healthcare workers, students entering certain programs, and individuals traveling to areas with high rates of TB, may be required to file a request for tuberculosis screening.
To fill out a request for tuberculosis screening, individuals typically need to provide personal information such as name, date of birth, contact details, and possibly medical history that may affect their TB risk or testing.
The purpose of the request for tuberculosis screening is to identify and test individuals who may be infected with TB to ensure early detection, effective treatment, and to prevent the spread of the disease.
The request for tuberculosis screening should report personal identification information, medical history relevant to TB risk factors, and any previous TB test results or treatments.
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