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Get and Sign State of Tennessee Tb Screening Form 2015-2022

Get and Sign State of Tennessee Tb Screening Form 2015-2022

Get the tb skin test form tn 2015 template, fill it out, eSign it, and share it in minutes.

Cough lasting 3 weeks or longer? Yes No Chest pain? Yes No Difficulty breathing? Yes No Persistent fever and/or chills? Yes No Persistent loss of appetite? Yes No Weight loss (without dieting)? Yes No Coughing up blood? Yes No Night sweats (drenching)? Yes No Hoarseness and/or trouble swallowing? Yes No Persistent fatigue? Yes No Other ____________________________ _________________________________ Section II: Evaluation for TB Infection (TBI) Has the individual had? Yes No Documented history...
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Instructions and help about tb questionnaire form

Welcome to the UCSB student hEvalth website today I will be showing you how to complete your tuberculosis hEvalth screening requirement please click on gateway secure login select to log in as a student or an authorized representative you will be prompted to enter your UCSB net ID and password once these fields are complete select proceed this will bring you to your home page please look at the left column and select forms the form we will be focusing on today will be tuberculosis TB hEvalth assessment and tuberculosis screening questionnaire if you are required to complete the tuberculosis TB hEvalth assessment form please download the form below take this form to your local medical provider to complete or document TB testing once this form is completed and signed return to this portal and select immunization upload where you can upload your TB document please return to the form section by submitting this form you are acknowledging that you understand you must return to the SHS gatewa

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