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Bureau of Medical Services U S Department of State Form
Previous BCG Previous active tuberculosis Previous positive TST or IGRA Previous LTBI treatment Hx of BcG vaccine OPTIONAL TESTS The following test are not required for a medical clearance determination. The expense of performing these exams is not routinely authorized. The tests may be performed at the clinical discretion of the examiner with patient consent. U.S. Department of State Bureau of Medical Services M/MED Room L101 SA-1 Washington DC 20522-0102 MEDICAL HISTORY AND EXAMINATION OMB...
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