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  • Tb Risk Assessment For School Entry Form

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Child s Name: Birthdate: Last, First Male/Female School: month/day/year Address Phone: Street City Zip Grade: Santa Clara County Public Health Department TB Risk Assessment for School Entry This form.

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How to fill out the Tb Risk Assessment For School Entry Form online

Filling out the Tb Risk Assessment For School Entry Form online is an important step to ensure the health and safety of students. This guide provides clear instructions on how to complete each section of the form with ease and confidence.

Follow the steps to complete the Tb Risk Assessment for school entry form online.

  1. Click the ‘Get Form’ button to access the Tb Risk Assessment For School Entry Form and open it in your preferred editor.
  2. Fill in the child's name, including the last and first names, ensuring proper capitalization. Enter the child's birthdate in the format month/day/year.
  3. Indicate the sex of the child by selecting either 'Male' or 'Female'. Next, specify the school the child will be attending.
  4. Provide the home address, including the street, city, and zip code, followed by a contact phone number.
  5. Enter the child's current grade in school. This information helps in assessing any necessary health measures.
  6. Respond to the series of questions regarding the child's potential exposure to tuberculosis. For each question, mark 'Yes' or 'No' based on the child's history.
  7. If any 'Yes' responses are recorded, it indicates an increased risk for tuberculosis infection. Ensure to schedule a TST or IGRA as necessary.
  8. If testing has been completed, attach or input the results, specifying the induration for the Tuberculin Skin Test (TST), the dates given, and the impression results.
  9. For the Gamma Release Assay (IGRA) and chest X-ray, enter the respective dates and impressions as indicated on the form.
  10. Select the appropriate box regarding the child's health status related to tuberculosis and add the health provider’s signature, title, date, and contact information.
  11. After reviewing all entries for accuracy, save your changes, and proceed to download, print, or share the completed form as required.

Complete the Tb Risk Assessment For School Entry Form online today to ensure a safe school environment for your child.

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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).

Have you ever had a positive TB skin test? Have you ever had close contact with anyone who was sick with TB? Have you ever been vaccinated with BCG?

There are two kinds of tests used to detect TB bacteria in the body: the TB skin test (TST) and TB blood tests. A positive TB skin test or TB blood test only tells that a person has been infected with TB bacteria. It does not tell whether the person has latent TB infection (LTBI) or has progressed to TB disease.

The purpose of this tool is to identify adults with infectious tuberculosis (TB) to prevent them from spreading disease. Do not repeat testing unless there are new risk factors since the last negative test.

These tests may include a chest x-ray or a sputum culture. If you had a positive result on a TB skin test, you may have a TB blood test to confirm the result. A negative result means that your skin or blood did not react to the test. You are unlikely to have a latent TB infection or TB disease.

A TB skin test, an injection that is placed in the arm and read 2-3 days later, a TB blood test, a tube of blood is collected, sent to the lab for testing with results available in 2-3 days, a review of symptoms for known positive TB test responders, or a CXR if deemed necessary by the OH nurse.

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.
3720 Flowood Dr, Flowood, Mississippi 39232
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
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Help Portal
Legal Resources
Blog
Affiliates
Contact Us
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 WorkFlow
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