Loading
Get Example Of Annual Tb Screening Form 2020-2025
How it works
-
Open form follow the instructions
-
Easily sign the form with your finger
-
Send filled & signed form or save
How to fill out the Example Of Annual Tb Screening Form online
Completing the Example Of Annual Tb Screening Form online ensures accurate documentation of your health status related to tuberculosis. This guide provides clear and structured instructions to help you navigate each section of the form effectively.
Follow the steps to complete your form correctly.
- Click ‘Get Form’ button to obtain the form and open it in your preferred online editor.
- Begin by entering your first name and last name in the designated fields. Ensure that your date of birth is entered correctly to match your identification information.
- Input your employee ID or social security number, along with your department and supervisor's name for proper record-keeping.
- Fill in the date of your previous positive TB test and specify the type of test that was conducted. If applicable, indicate whether you have taken follow-up medications and whether you completed the entire course.
- Record the date your treatment was completed. Provide the date of your last chest X-ray and summarize the results in the appropriate fields.
- Answer the questions regarding any TB exposure or isolation room entry in the past year. Use 'Yes' or 'No' to respond, and if 'Yes', specify the location and time/date of the exposure.
- Indicate if you have lived with or had close contact with someone who has TB disease, along with details of any recent overseas travel.
- Respond to questions about your living situation, specifically if you have been in a prison or a homeless shelter.
- Answer questions regarding your immune system status and any unexplained symptoms, marking 'Yes' or 'No' where appropriate.
- If you answered 'Yes' to any of the symptom review questions, provide additional details such as amounts and time periods in the designated space.
- Complete the medical evaluation and chest X-ray recommendations section, if applicable. Finally, ensure to fill in the nurse's initials and the date.
- After reviewing your entries for accuracy, save your changes, and choose to download, print, or share the completed form as needed.
Take the next step towards your health by completing the Example Of Annual Tb Screening Form online today.
A common example of a tuberculosis test is the QuantiFERON-TB Gold test, which is a blood test that measures your immune response to TB proteins. This test is beneficial for those who may have difficulty with skin tests. Utilizing an Example Of Annual Tb Screening Form ensures you maintain clear records of all completed tuberculosis tests and results.
Industry-leading security and compliance
US Legal Forms protects your data by complying with industry-specific security standards.
-
In businnes since 199725+ years providing professional legal documents.
-
Accredited businessGuarantees that a business meets BBB accreditation standards in the US and Canada.
-
Secured by BraintreeValidated Level 1 PCI DSS compliant payment gateway that accepts most major credit and debit card brands from across the globe.