Get Positive Tb Test Checklist - View Fdu

The Positive TB Test Checklist is an essential document for individuals who have received a positive tuberculosis (TB) test. This guide aims to provide a clear and comprehensive overview of how to fill out the checklist accurately and efficiently online.

Follow the steps to complete the checklist effectively.

1. Click the ‘Get Form’ button to access the Positive TB Test Checklist and open it for editing.
2. Next, provide your date of birth using the format: month, day, and year. This information helps to identify your records accurately.
3. Fill in your phone number for contact purposes, ensuring the area code is included.
4. Provide the result of this test in the corresponding space.
5. Proceed to section 2 for the symptom assessment for pulmonary tuberculosis. Check all symptoms that apply from the provided list. Be thorough in your evaluation.
6. For section 3, provide the date of your chest X-ray and attach the radiologist's report. Write down the result of the analysis in the designated line.
7. In section 4, indicate if chemoprophylaxis was discussed and the treatment recommended field. If applicable, detail the name of the drug, dosage, and the date treatment was initiated.
8. Additionally, sign the document where indicated, providing the current date.
9. Review all information for accuracy before saving your changes, downloading the form, or printing it for submission.

Complete the Positive TB Test Checklist online today to ensure all necessary health documentation is accurately filed.