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Second series may be indicated. If a second negative HBsAB is resulted after a completed second series diagnosis of non-responder. Induration mm Result Pos/Neg. IGRA T-Spot Quantiferon Gold etc. Date Chest x-ray - in the last two years with documentation of official report. In. Weight m. cm. Female Local Street Address if known City State Job Title Department Name Zip LEAVE BLANK - to be completed by UNCHCS GME office. Or 1 Zostavax vaccine shingles. Hepatitis B of 3 vaccines to complete one...
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