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Get Tb Medical Clearance Form
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How to fill out the Tb Medical Clearance Form online
Completing the Tb Medical Clearance Form online is a straightforward process that ensures your health information is accurately captured. This guide will walk you through each section of the form step-by-step, making the online submission simple and efficient.
Follow the steps to complete the Tb Medical Clearance Form online.
- Press the ‘Get Form’ button to access the Tb Medical Clearance Form and open it in your preferred editor.
- Begin by entering your personal information. Fill in your full name, date of birth, and student ID number. Ensure that all information is accurate to avoid any delays.
- Move to Section A, which is focused on symptom review and health history. Answer the questions regarding signs and symptoms of active tuberculosis disease honestly by selecting either 'Yes' or 'No'. If you respond 'Yes' to any symptoms, appropriate clinical evaluation may be necessary.
- Continue with the questions related to previous treatments. If you have ever been treated for latent or active tuberculosis, be sure to provide the required details, including medication names and treatment dates. If documentation is necessary, indicate that an attachment will be included.
- Proceed to Section B, diagnostic testing. Here, choose the tuberculosis test you will be taking. Note that testing must be completed within the last 12 months prior to enrollment. Indicate if a chest x-ray is needed based on previous test results.
- After selecting the test, provide the required dates for testing and results. Ensure to accurately represent the dates and outcomes, whether they are negative, positive, or indeterminate.
- If applicable, fill in Section C, the certification of clearance. This section must be signed by a licensed healthcare provider, who will also include their printed name, date, and office stamp. Make sure this information is legible.
- Once all sections have been filled out, review your entries for accuracy. Save any changes made to the form. You can then download, print, or share the completed form as needed.
Complete the Tb Medical Clearance Form online for a smooth processing experience.
Calls are taken 7:45 a.m.- 4:30 p.m., Monday-Friday, except for holidays. To request a TB clearance by email, go to https://health.hawaii.gov/tb for instructions on completing a request to send to DOH.tbclearance@doh.hawaii.gov.