Get Tb Risk Assessment.doc

Filling out the TB Risk Assessment.doc is an essential step in evaluating tuberculosis risk for students. This guide provides detailed instructions to help users complete the form accurately and efficiently online.

Follow the steps to successfully fill out the TB Risk Assessment form.

1. Click ‘Get Form’ button to access the TB Risk Assessment document and open it in the editing interface.
2. Begin by entering your name in the designated fields under 'Name,' including both last and first name. Next, fill in the date of entry and your date of birth in the specified format.
3. Read through the list of risk factors and indicate your responses by marking 'yes' or 'no' for each factor listed, which will help determine your need for further testing.
4. If you answered 'yes' to having signs or symptoms of active tuberculosis disease, please follow up for additional evaluation as indicated. If 'no,' continue to the next section.
5. Complete the Tuberculin Skin Test (TST) section by entering the date the test was given and the date it was read. Record the result by noting the actual millimeters of induration and providing the TST interpretation as positive or negative.
6. Fill in the Gamma Release Assay (IGRA) section with the date obtained and specify the method used. Circle the result as negative, positive, or intermediate.
7. If applicable, complete the Chest x-ray section by noting the date obtained and circling the result, which should indicate normal or abnormal.
8. Finally, have a healthcare provider complete their portion, including their printed name, signature, and contact information. Be sure to save your changes once all sections are completed.

Complete the TB Risk Assessment.doc online to ensure your health risk is evaluated effectively.