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Get SD TB Risk Assessment Worksheet - Attachment A

Ent completed for: F Entire facility F Area of facility (specify) __________________________________________________ F Occupational group (specify) _____________________________________________ __________ to __________ Time interval (state month & year) for conducting the TB risk assessment. This is usually done for the previous calendar year (i.e. January – December). Counties included in risk assessment: ___________________________________________________ _________________________________.

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