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  • Tuberculosis Screening Questionnaire - Fort Hays State University - Fhsu

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TUBERCULOSIS SCREENING QUESTIONNAIRE (To be completed by ALL first time oncampus enrollees before class attendance at Fort Hays State University) Name: Last Name (Please print) First Name & MI.

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How to fill out the Tuberculosis Screening Questionnaire - Fort Hays State University - Fhsu online

Completing the Tuberculosis Screening Questionnaire is a crucial step for all first-time on-campus enrollees at Fort Hays State University. This guide will provide you with clear, step-by-step instructions to help you successfully navigate the online form.

Follow the steps to complete the Tuberculosis Screening Questionnaire.

  1. Press the ‘Get Form’ button to access the Tuberculosis Screening Questionnaire and open it in your preferred document editor.
  2. Fill in the required fields at the top of the form, including your last name, first name and middle initial, date of birth, and phone number. Ensure that you print this information clearly.
  3. Read the introduction about tuberculosis (TB) and its implications for students. This section provides critical context about why the questionnaire is necessary.
  4. Proceed to answer the series of yes or no questions related to your TB history. Circle your answer for each question accurately.
  5. If applicable, provide additional information for questions that require you to specify countries of birth or those you have spent more than three months in.
  6. Review the list of exempt countries that have a low incidence of TB. This list may help you in answering the questions correctly.
  7. If you answered ‘yes’ to any of the questions, ensure you gather the necessary documentation regarding further testing and evaluation.
  8. At the conclusion of the form, read the compliance statement carefully and sign your name on the designated line to affirm the accuracy of your information. If you are under eighteen, include the signature of a parent or legal guardian.
  9. Once you have completed the form, save your changes. You can then choose to download or print the document for submission, or share it directly via email.

Complete your Tuberculosis Screening Questionnaire online today to ensure your successful enrollment at Fort Hays State University.

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The first page, the Connecticut Tuberculosis (TB) Risk Assessment, is an assessment tool that may be used to identify asymptomatic adults and children for latent TB infection (LTBI) testing.

The risk assessment should be administered at least once. Persons can be screened for new risk factors at subsequent preventive health visits. Because IGRA has increased specificity for TB infection in persons vaccinated with BCG, IGRA is preferred over the TST in these persons.

Please answer the following questions: 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? * The significance of the travel exposure should be discussed with a health care provider and evaluated.

A TB skin test requires two visits with a health care provider. On the first visit the test is placed; on the second visit the health care provider reads the test. The TB skin test is performed by injecting a small amount of fluid (called tuberculin) into the skin on the lower part of the arm.

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.

Post-Exposure Screening and Testing All health care personnel with a known exposure to TB disease should receive a TB symptom screen and timely testing, if indicated. Health care personnel with a previous negative TB test result should be tested immediately and re-tested 8 to 10 weeks after the last known exposure.

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? * The significance of the travel exposure should be discussed with a health care provider and evaluated.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
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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
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