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Get Pa Baseline Two-step Ppd
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How to fill out the PA Baseline Two-Step PPD online
This guide provides clear and detailed instructions on how to fill out the PA Baseline Two-Step PPD form online. Ensuring accurate completion of this document is essential for your health record.
Follow the steps to complete the PA Baseline Two-Step PPD form
- Press the ‘Get Form’ button to access the PA Baseline Two-Step PPD form and open it in your preferred online editor.
- Enter the facility name or physician’s office at the top of the form. Clearly include the phone number and the address of the facility or physician’s office.
- Fill in your personal information. Provide your full name, the date, and your date of birth (D.O.B). Ensure that this information is accurate.
- Indicate if you have had a positive result from a PPD skin test before by selecting 'Yes' or 'No'. If 'Yes', you must attach a chest X-ray report dated within the past five years.
- If you have not had a positive PPD, confirm that a Baseline Two-Step PPD is required unless you can provide documentation indicating a negative test within the past twelve months.
- For the first PPD skin test, fill in the site of the test (left or right) and provide the manufacturer's name, lot number, and expiration date.
- Record the name and signature of the individual administering the test, along with the date and time of administration.
- After 48-72 hours, circle the applicable day(s) you returned for reading the results. Enter the measurement in mm of induration.
- Have the PPD reader sign and date the results section of the form.
- Repeat steps 6-9 for the second PPD skin test. Ensure all sections are completed accurately.
- Review the completed form to ensure all information is correct. Save the changes to your document. You may download, print, or share the form as needed.
Complete your PA Baseline Two-Step PPD document online to ensure proper health documentation.
To write TB skin test results, note the size of any induration (swelling) at the injection site after the appropriate waiting period. Document the measurement in millimeters and indicate if the result is positive or negative. Using the guidelines for the PA Baseline Two-Step PPD can help ensure that you include the necessary details for accurate reporting.
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