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Get MD Tuberculosis Risk Assessment And PPD Form

Europe Western Europe 2. If not born in USA. When did they arrive in the USA? Within the past 2 years 2-5 years ago More than 5 years ago 3. Has the patient ever had a skin test for Tuberculosis? Yes No Not Sure 6. Please check all that apply: Has the patient: Ever been homeless or lived / worked in a shelter Lived / worked in a nursing home Ever been an inmate or worked in a jail / prison Ever been a healthcare worker Has the patient had any vaccinations recently? What?.

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