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Get Augusta Two Step Mantoux Ppd Skin Test
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How to fill out the Augusta Two Step Mantoux PPD Skin Test online
Completing the Augusta Two Step Mantoux PPD Skin Test online is a straightforward process that can be done promptly. This guide provides clear instructions on how to accurately fill out each section of the form to ensure compliance with the testing requirements.
Follow the steps to complete the skin test form accurately.
- Click the ‘Get Form’ button to download the Augusta Two Step Mantoux PPD Skin Test form and open it for editing.
- In the 'Patient Information' section, fill in your last name, first name, middle initial, date of birth, and student ID number accurately.
- For 'Required Tuberculosis Test Results', proceed to fill out 'STEP ONE'. Enter the date the first injection was applied, the location of the injection, and the date the results were read.
- Provide your signature and title, as well as the lot number and manufacturer of the PPD test.
- Document the results of the first step in millimeters. Then, enter your provider’s office address and phone number.
- Review the requirement that if the first step is negative, the second injection must be administered no earlier than 7 days and no later than 12 days after the first one. If the first step is positive, ensure a Quantiferon Gold or TSpot blood test is drawn.
- Then, move to 'STEP TWO'. Record the date the second injection was applied, the location, and the date the results were read.
- Complete the same procedure by providing your signature and title again, the lot number and manufacturer for the second injection.
- Document the results of the second step as well, along with your provider's office address and phone number.
- If you have received the BGC vaccine or have a history of a positive skin test, make sure to submit the required Quantiferon Gold or TSpot blood test lab report as per the instructions.
- After completing the form, review all entered information for accuracy. Save your changes and choose to download, print, or share the completed form as required.
Complete your Augusta Two Step Mantoux PPD Skin Test online today to ensure compliance and a smooth enrollment process.
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Writing a Mantoux test involves documenting essential details, such as the date of administration, the results, and the healthcare provider's signature. For the Augusta Two Step Mantoux PPD Skin Test, make sure to note both the initial and follow-up results, including measurement of induration if positive. This documentation is crucial for accurate medical records.
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