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Get Ca Cdcr 7336 2015-2026
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How to fill out the CA CDCR 7336 online
The CA CDCR 7336 form is essential for documenting the results of tuberculosis screening for California Department of Corrections and Rehabilitation employees. This guide will provide step-by-step instructions on how to properly complete the form online, ensuring all information is recorded accurately and in compliance with health guidelines.
Follow the steps to successfully complete the CA CDCR 7336 form online.
- Click ‘Get Form’ button to access the CA CDCR 7336 form and open it in your online editor.
- In the 'Employee Information' section, clearly print or type your full name as it appears on your state paycheck. Ensure to include your birth date, gender, and personnel number if known. Indicate whether you are a new employee or cadet by selecting 'Yes' or 'No' in the designated option. Also, provide the institution or division along with the unit or branch.
- Move on to the 'Prior TST / TB Blood Test / TB History' section. If applicable, answer questions about any previous positive TB tests or TB disease by selecting 'Yes' or 'No.' If you have a documented history, include the date of the prior test.
- Proceed to the 'TST Administration' section where health care providers will administer the test. Record the date, the injection or blood draw information, and document results. Ensure that the interpretation of the results is marked as either positive or negative.
- The next section requires evaluation for signs and symptoms of TB. Mark any symptoms you may have experienced, otherwise, select 'No Symptoms.' Make sure to include any additional comments if necessary.
- The health care provider must sign and date the form in the appropriate areas, confirming that the test was administered and evaluated. Attach any additional documentation required, such as chest x-ray results.
- After completing the form, review all entries to ensure they are accurate. Save any changes made to the form, and proceed to download or print your completed document for submission, as per your supervisor's instructions.
Complete your CA CDCR 7336 form online to ensure a smooth health screening process.
At time of reading: Name and signature of person reading test. Date and time test read. Exact number of mm of induration (if no induration, document "0" mm) Interpretation of reading (i.e., positive or negative, based on individual's risk factors)
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