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Get University Of Michigan Offsite Tb Documentation Form
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How to fill out the University of Michigan Offsite TB Documentation Form online
This guide provides clear, step-by-step instructions on completing the University of Michigan Offsite TB Documentation Form online. It aims to assist users in accurately filling out the necessary sections and obtaining their documentation with ease.
Follow the steps to successfully complete the form.
- Click ‘Get Form’ button to access the document and open it for editing.
- Begin by filling out the 'From' section, including the offsite unit name and the sender’s name and phone number. Ensure this information is clear to facilitate communication.
- Enter the date of completion in the designated field to timestamp the document.
- Complete the reimbursement section by filling in the department organization code and short code.
- Provide the employee's name, medical record number (MRN), email address, University of Michigan ID number, and birthdate to link the documentation to the correct individual.
- Fill in the supervisor's name and department to ensure proper oversight and communication regarding the TB test.
- Indicate whether the TB test received was 0.1 cc ppd for tuberculosis screening and specify whether it was applied in the left or right forearm.
- Record the date the test was applied and circle the reason for the TB screening, such as annual, new employee, volunteer, or post-exposure.
- Provide the name and title of the individual who applied the test and the date it was read.
- Fill in the reader’s name and title along with the test results. It is crucial to report positive or questionable results to UM Occupational Health Services immediately.
- After completing the form, review all entries for accuracy and clarity, then proceed to save your changes.
- Download, print, or share the form as necessary, and ensure that it is faxed to Occupational Health Services at the specified number.
Take action now by completing your documentation forms online with confidence.
Writing TB skin test results involves documenting them on the University of Michigan Offsite TB Documentation Form. Include the date of the test, your identification details, and the interpretation of the results. It should also be signed by a healthcare professional, confirming its accuracy. Clear and precise writing helps ensure that your test results are reliably communicated to necessary parties.
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