Get Tuberculosis Screening Form - Desales University - Web1 Desales

Filling out the Tuberculosis Screening Form is an essential step for students at DeSales University to ensure their health and safety regarding tuberculosis. This guide will provide a clear and supportive walkthrough to help you complete the form thoroughly and accurately.

Follow the steps to fill out the Tuberculosis Screening Form online:

1. Press the ‘Get Form’ button to access the Tuberculosis Screening Form online and open it in your preferred document editor.
2. Begin by entering your name in the designated field labeled 'Student Name'.
3. Next, input the 'Date of Screening' in the provided space.
4. Answer the first question: 'Has the student ever had a positive PPD test?'. If your answer is 'No', proceed to question 2. If 'Yes', do not repeat the PPD test and continue to questions 4-5, providing any required information.
5. For question 2, indicate whether you have signs or symptoms of active TB disease, such as night sweats, weight loss, persistent cough, or bloody sputum. If 'No', move to question 3. If 'Yes', proceed with additional evaluations as instructed.
6. In question 3, indicate if you are a member of a high-risk group or entering the health professions. If 'No', stop here and have a health care provider sign below. If 'Yes', you must place a tuberculin skin test as described.
7. If performing the Tuberculin Skin Test, record the date given, the manufacturer, lot number, expiration date, result in mm, and interpretation. This should be done 48-72 hours after the test.
8. If the tuberculin skin test is positive, complete the chest X-ray section by filling in the date of the chest X-ray, the result, and note any medical evaluation and treatment details as required.
9. Finally, ensure that the health care provider has signed the form, confirming the screening and evaluation process is complete.
10. Once filled out, review the form for accuracy, then save your changes, download, print, or share the form as needed.

Complete your Tuberculosis Screening Form online today for a healthy start at DeSales University!