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Get and Sign Official Printable Tb Screening Sheet Form 2011
With active tuberculosis. The
individual is free of tuberculosis in a communicable form.
Signature ______________________________
Date ___________________________
(MD or Health Department Official)
Address ________________________________
Phone ___________________________
City, State, Zip ______________________________________________________________
Gamma Release Assay
Alternative test for the tuberculin skin test (TST)
Date drawn ________________
Time drawn...
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