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Get CA CDCR 7336 2020-2024

TRUCTIONS: Tuberculosis (TB) screening must be performed by a licensed health care provider whose legally authorized scope of practice allows them to conduct medical examinations and/or the Mantoux TST in accordance with the recommendations of the Centers for Disease Control and Prevention (CDC) to determine if a person has TB infection or disease. Employee (Complete Section 1. Type or print clearly.) Section 1 IEmployee Information Gender Employee Full Name (First, MI, Last) Male Fe.

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