Get Appendix C.11 - Sample Fgp-scp Tb Test Form

Filling out the Appendix C.11 - Sample FGP-SCP TB Test Form is essential for those participating in the ABC Foster Grandparent/Senior Companion Program. This guide will assist you in accurately completing the form online, ensuring a smooth submission process.

Follow the steps to complete the TB test form online.

1. Press the ‘Get Form’ button to access the TB test form and open it in your preferred editor.
2. Begin by entering your full name in the designated field. Ensure that your name is spelled correctly, as this information is critical for identification purposes.
3. Insert your date of birth in the specified area. Use the format MM/DD/YYYY to avoid any confusion.
4. Provide your complete address and phone number. Double-check these details to guarantee accurate communication.
5. If you have had a positive TB test before, skip the TB test questions and proceed to fill out the Positive Tuberculosis Test Screening Form on the next page.
6. For the PPD test, fill in the date the test was administered and the date it was read. This information is vital for tracking purposes.
7. Indicate the number of millimeters of induration and provide the results in the designated interpretation section.
8. Complete the provider information by having a health professional sign and fill in their name, organization, and the date of the signature.
9. If you are filling out the Positive Tuberculosis Test Screening Form, record the date of the positive test results and answer the follow-up questions regarding chest X-rays and medications.
10. Review the entire form to ensure all details are filled in accurately. Once completed, you can save changes, download, print, or share the form as needed.

Take the next step and complete your documents online to support your participation in the program.