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  • Tennessee Tb Risk Assessment Form

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D within 6 months prior to start of classes for recent or prior positive TST or IGRA Date Obtained: / / M D Result: Normal / Abnormal Y 5. Provide or attach information regarding past or present treatment for latent or active TB infection: 6. Health Care Provider Contact Information sign only when testing completed Provider Name: Address: Provider Signature City State Zip Code Country Phone Number: Fax Number:.

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The CDC guidelines on the use of QFT recommend that recent contacts who test QFT negative prior to 8 weeks after the end of exposure, be retested 8 to 10 weeks later—similar to the recommendations for the TST.

A repeat TB test (e.g., TB blood test or a TB skin test) is not required. Annual TB testing of health care personnel is not recommended unless there is a known exposure or ongoing transmission at a healthcare facility.

The risk assessment should be administered at least once. Persons can be screened for new risk factors at subsequent preventive health visits. Because IGRA has increased specificity for TB infection in persons vaccinated with BCG, IGRA is preferred over the TST in these persons.

For persons with TB symptoms,4 abnormal chest x-ray consistent with TB disease, or a positive TST or IGRA: Evaluate for active TB disease by obtaining a chest x-ray, symptom screen, performing a physical exam and if indicated,5 sputum testing (i.e., AFB smears, cultures and nucleic acid amplification).

The risk assessment should be administered at least once. Persons can be screened for new risk factors at subsequent preventive health visits. Because IGRA has increased specificity for TB infection in persons vaccinated with BCG, IGRA is preferred over the TST in these persons.

Repeat risk assessments should occur every four years (unless otherwise required) to identify any additional risk factors, and TB testing based on the results of the TB risk assessment. Re- testing should only be done in persons who previously tested negative, and have new risk factors since the last assessment.

This tool may be used for school-aged children to determine if a student should have a TB test. This TB Risk Assessment does not supersede any TB testing mandated by statute, regulation, or policy. A negative tuberculin skin test (TST) or gamma release assay (IGRA) does not rule out active TB disease.

A TB screening tool to be administered by licensed healthcare providers. Use this form to identify asymptomatic adults for latent TB infection (LTBI) testing. * Re-test persons who previously tested negative, and have new risk factors since the last assessment.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232