Get Ca Cdc 7336 2002-2025

The CA CDC 7336 form, used for tuberculosis screening in California, must be completed accurately to ensure compliance with health regulations. This guide provides clear and detailed instructions for filling out the form online, making the process straightforward for all users.

Follow the steps to complete the CA CDC 7336 form online.

1. Click ‘Get Form’ button to access the CA CDC 7336 online. This will allow you to view and interact with the form directly.
2. Begin by entering the employee’s full name as it appears on their state paycheck. This includes the first name, middle initial, and last name in the designated fields.
3. Select the appropriate gender option by marking either 'Male' or 'Female'.
4. Input the employee’s birthdate in the specified format provided.
5. Enter the last six digits of the employee’s social security number accurately.
6. Indicate whether the individual is a new employee or cadet by selecting 'Yes' or 'No'.
7. Fill in the institution or division where the employee is assigned.
8. Specify the unit or branch of the employee’s work placement.
9. If the employee is not associated with the CDCR, input the relevant department information.
10. Sign the form by having the employee provide their signature in the section labeled 'Employee Signature'.
11. Enter the date of signing the form.
12. Document the prior TB testing and history, providing any additional information as required.
13. Check the box for any prior significant TB skin test or infection and provide the date and induration size if applicable.
14. Indicate if there has been prior TB disease by selecting 'Yes' or 'No'.
15. Select the type of test administered (TUBERSOL or APILSOL) and fill in the injection site, lot number, and expiration date.
16. Have the TST administered by a qualified individual. They must print their name and sign the form where indicated.
17. Record the date the TST was administered and the date it was read.
18. Mark any relevant symptoms that apply to the employee in the evaluation for signs and symptoms section.
19. Complete the chest x-ray information if applicable, indicating results in the appropriate fields.
20. Add any comments or additional notes, especially regarding follow-up evaluations or notifications.
21. Finally, save your changes, download, print, or share the completed form as needed.

Begin completing your CA CDC 7336 form online today.