Get Mi Dhhs Tuberculosis Sign & Symptom Review 2019-2026

The MI DHHS Tuberculosis Sign & Symptom Review is a crucial document for individuals with a history of positive tuberculosis tests. This guide will provide you with clear instructions to complete the form online efficiently and accurately.

Follow the steps to fill out the form with ease.

1. Press the ‘Get Form’ button to access the form and open it in your designated editor.
2. Begin by entering your full name in the designated field. Ensure correct spelling for accuracy.
3. Fill in your date of birth in the corresponding space. Use the format MM/DD/YYYY.
4. Provide a personal identifier, such as a driver's license number or social security number, in the field provided.
5. Indicate the date when you completed the form. Enter this as MM/DD/YYYY.
6. Enter the date of your previous positive TB test. UseMM/DD/YYYY format.
7. Select the type of test previously taken by checking the appropriate box: IGRA or TST, and note the induration if applicable.
8. Document the date of your last chest x-ray and the result in the provided space.
9. Respond to the question regarding whether you have taken medications following your positive TB test by checking 'Yes' or 'No'. If 'Yes', indicate whether you completed the entire course of medications.
10. If applicable, enter the date when you completed the treatment.
11. For the sign and symptom review, check 'Yes' or 'No' for each symptom experienced for more than two weeks since your last TB test.
12. Once all sections are filled out, review the form for accuracy. You can then save changes, download, print, or share the completed form as needed.

Complete the MI DHHS Tuberculosis Sign & Symptom Review online today!