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Get and Sign Tb Screening Tool  Form

Get and Sign Tb Screening Healthcare Workers Form

Use a tb screening healthcare workers form 0 template to make your document workflow more streamlined.

Blood Weight loss/poor appetite Fever/chills Fatigue Note If TB symptoms are present promptly refer HCW for a chest x-ray before starting work. Do not wait for the TST result* HCW s history circle response Comments Have you ever had an adverse reaction to at TB skin test Yes No Were you born outside of the US Have you traveled or lived outside of the US in the past 2 years Have you ever been treated for latent TB infection TB Blood Test Name of TB blood test circle QuantiFERON TB-Gold T-SPOT...
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