2017-2025 Form

What is the Record Of Tuberculosis Screening DHHS 3405

The Record Of Tuberculosis Screening DHHS 3405 is a form used in the United States to document the results of tuberculosis screenings. This form is essential for individuals who need to provide proof of tuberculosis testing for employment, school enrollment, or healthcare purposes. It typically includes information about the individual being screened, the type of test administered, and the results of that test. Accurate completion of this form is crucial for compliance with health regulations and for ensuring that individuals are not at risk of spreading tuberculosis.

How to use the Record Of Tuberculosis Screening DHHS 3405

Using the Record Of Tuberculosis Screening DHHS 3405 involves several steps. First, the individual must undergo a tuberculosis screening test, which could be either a skin test or a blood test. After the test is completed, the healthcare provider will fill out the form with the necessary details, including the date of the test, the results, and any additional comments. It is important to ensure that all information is accurate and complete, as this form may be required for various administrative processes.

Steps to complete the Record Of Tuberculosis Screening DHHS 3405

Completing the Record Of Tuberculosis Screening DHHS 3405 involves the following steps:

• Obtain the form from a healthcare provider or relevant institution.
• Provide personal information, including name, date of birth, and contact details.
• Indicate the type of tuberculosis test conducted and the date of the test.
• Record the results of the test, including any follow-up actions required.
• Have the healthcare provider sign and date the form to validate it.

Legal use of the Record Of Tuberculosis Screening DHHS 3405

The Record Of Tuberculosis Screening DHHS 3405 is legally recognized as a valid document when completed correctly. It serves as official proof of tuberculosis screening and is often required by employers, schools, and healthcare facilities to ensure public health safety. Compliance with local and federal health regulations is essential when using this form, as it helps prevent the spread of tuberculosis and protects community health.

Key elements of the Record Of Tuberculosis Screening DHHS 3405

Key elements of the Record Of Tuberculosis Screening DHHS 3405 include:

• Personal identification details of the individual being screened.
• The type of tuberculosis test performed.
• The date of the test and the date the results were received.
• The results of the test, indicating whether the individual is positive or negative for tuberculosis.
• Signature and credentials of the healthcare provider who conducted the test.

How to obtain the Record Of Tuberculosis Screening DHHS 3405

To obtain the Record Of Tuberculosis Screening DHHS 3405, individuals should contact a licensed healthcare provider or clinic that offers tuberculosis screening services. Many healthcare facilities have the form readily available for patients. Additionally, some public health departments may provide access to the form for individuals seeking screening. It is advisable to inquire about any specific requirements or procedures for obtaining the form at the chosen facility.