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Get (TB) Health Assessment Form - UCSB Student Health - University Of ...

Thealthoc.sa.ucsb.edu or by emailing it to SHSEntranceImmunizations sa.ucsb.edu or FAX (805) 893-3593 For questions, see our FAQ Page at http://studenthealth.sa.ucsb.edu/medical-services/immunization-information/ university-immunization-requirements/tuberculosis-(tb)-screening-requirement or Phone (805) 893-2525 I certify the student is free of infectious tuberculosis. Signature of Licensed Healthcare Provider Printed Name of Licensed Healthcare Provider PPM Tuberculosis Health Assessement For.

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