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Get and Sign MEDICAL CLEARANCE PPD Scranton  Form

Get and Sign Ppd Clearance Form

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COMPLETED BY HEALTH CARE PROVIDER I have evaluated this individual and in my medical opinion Find him/her free from all communicable disease. I cannot at this time ascertain that this individual is free Of communicable disease. TB Screening Step 1 Inject Date Administered by Site Step 2 Manufacturer Health Care Providers Signature Lot Results Size Negative Positive mm Read Date Read By Please note that a positive screening will result in this information being provided to the PA department of...
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