Get Tb Attestation Form

Filling out the Tuberculosis (Tb) Attestation Form online is a straightforward process that ensures you provide necessary documentation for your educational program. This guide will walk you through each section of the form, offering clear instructions to assist you in completing your submission accurately and efficiently.

Follow the steps to complete the Tb Attestation Form online

1. Press the ‘Get Form’ button to access the Tb Attestation Form and open it in your editing platform.
2. Fill in your personal information, including your name (first, middle, last) and birth date (mm-dd-yyyy). This information is crucial for identifying your records.
3. Indicate the name of your enrolled program in the designated field. Ensure that this corresponds with the program you are applying for.
4. Complete the section regarding your TB screening results. You will need to provide details about your skin test or blood test, along with the specific test dates and resulting outcomes.
5. If applicable, include the results of a chest X-ray, ensuring to provide the necessary date and results from the examination.
6. Review the attestation statement carefully. By signing this document, you confirm that the information provided is accurate and that the named student is free from infectious TB.
7. Ensure that the health care provider signs and inputs their printed name, license number, and address details in the indicated areas.
8. If you are signing on behalf of a patient, provide your relationship and include any necessary documentation if different from the patient.
9. Finally, ensure that all details are complete. You can then save changes, download, print, or share the Tb Attestation Form as needed.

Complete the Tb Attestation Form online today to stay on track with your educational requirements.