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For University use Place label here 207 Fletcher Street Ann Arbor MI USA 48109-1050 www. uhs. umich. edu/tbscreen Email tbscreen umich. edu Documentation for International Mandatory Tuberculosis TB Screening Certain entering international students must be screened for TB at University of Michigan U-M. Screening is free and confidential on campus. You may also use this form for documentation to help meet the requirement. Bring this completed form with you to your screening appointment do not submit it before your appointment. Acceptable documentation is must be in English Negative QuantiFERON-TB Gold or T-SPOT. TB test done in the U*S* within a year of starting U-M classes OR Completed treatment report for active or inactive TB Unacceptable documentation is TB skin test Mantoux PPD skin test Tine test Chest x-ray only A health care provider should complete this form in English Patient -- Name Last family First Date of Birth Month QuantiFERON-TB Gold T-SPOT. TB test Date Test -- Day Midd....

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Located in Ann Arbor, Michigan, the University of Michigan Medical Center is the main complex for patient care at the University of Michigan.

The main U-M Emergency Room is open 24 hours a day, seven days a week.

Michigan Medicine includes the University of Michigan Medical School, with its faculty group practice and research laboratories; the university's affiliated hospitals and health centers, including the University of Michigan Hospital, C.S....Michigan Medicine. Other nameUniversity of Michigan MedicineTypePublic12 more rows

Michigan Medicine is one of the largest hospitals in Michigan and a premier academic medical center made up of: U-M Health System. University of Michigan Medical School and its University of Michigan Medical Group practice. One of the nation's largest biomedical research communities.

It has three hospitals—University Hospital, C.S. Mott Children's Hospital, and Von Voigtlander Women's Hospital—totaling more than 47,000 hospital stays in 995 beds per year. UMHS includes 40 outpatient locations with more than 150 clinics across Michigan and northern Ohio.

Don't settle for less when it comes to your urgent care needs. Find one of our six locations in Western Michigan today and and see what we can do for every oof, ouch, and uh-oh!

If you have an urgent need to get copies of your medical records, please call the Release of Information Unit at 734-936-5490 Monday through Friday from 8am – 5pm or fax your request to 734-936-8571.

See Us When You Need Us For problems that aren't life-threatening, Urgent Care is a great option to save time and money while accessing the high-quality, personal care UM Health-West is known for. Our experts provide short wait times and convenient access, right off the Cascade Road exit for I-96.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Content Takedown Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232