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Get VA Report Of Tuberculosis Screening 2011

N: The above named individual has been evaluated by ________________________________ (Name of health dept./facility) Tuberculin Skin Test (TST) Date given: _______________ Results: ______mm Date read: _______________ ___ Negative ___ Positive The individual listed above has no symptoms compatible with active tuberculosis. The individual is free of tuberculosis in a communicable form. Signature ______________________________ Date ___________________________ (MD or Health Department Officia.

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