Get International Students Tuberculosis Skin Testing Result - Lbcc

Filling out the International Students Tuberculosis Skin Testing Result form accurately is essential for international students attending Long Beach City College. This guide provides clear instructions to help you navigate the form and ensure all necessary information is included.

Follow the steps to complete the form effectively.

1. Press the ‘Get Form’ button to obtain the International Students Tuberculosis Skin Testing Result - Lbcc form and open it in the online editing interface.
2. Fill in the patient information section. Enter the patient's full name in the designated fields for 'Last', 'First', and 'Middle'. Then, provide the date of birth in the format of month/day/year.
3. Complete the tuberculosis screening section by documenting the date of the tuberculosis skin test given and the date of reading in the specified fields. Record the result by indicating the millimeters of induration or selecting 'Negative'.
4. If the skin test result is positive, make sure to fill in the date of the chest X-ray screening and the result as either 'Normal' or 'Abnormal'.
5. In the health history section, indicate if there is a history of treatment for tuberculosis infection by selecting 'Yes' or 'No'. If applicable, provide the treatment start date and duration.
6. List any allergies to medications in the allergies section. Additionally, list any medications that the patient is currently taking.
7. Provide comments in the designated space if necessary to include additional relevant health information.
8. Complete the physician section by printing the physician's name and signing it. Include the date and the physician's contact information, including the address, telephone, and fax number.
9. Ensure the physician includes their signature and stamp as required.
10. After completing the form, users can save changes, download the filled form, print a copy, or share it as needed.

Complete your documents online today for a seamless submission process.