TB Skin Test form - Post Graduate Medical Education University of ... 2026

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by entering your Last Name, First Name, and Student Number in the designated fields.
  3. Fill in the Academic Session, Program, and Training Level. If applicable, indicate your Clinical Fellow status and PGY level.
  4. In the TUBERCULIN TEST section, input the Date of Test using the format dd/mm/yyyy and provide the Reading measurement in mm.
  5. Select the appropriate Results option based on your test outcome: Negative or Positive. Ensure you also note any previous negative results and BCG vaccination details.
  6. If applicable, complete the CHEST X-RAY section with the date and result of your chest X-ray if your TB test is positive or previously positive.
  7. Sign and date the Trainee Authorization section to consent to information sharing. Ensure a healthcare professional completes their signature and details as well.

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Further testing may be required if the blood test is positive. No doctors visit needed. Buy this TB blood test, visit a nearby Quest location, and get fast results.
How do I get a TB clearance? You can contact your health care provider or you can go to one of the DOH clinics. The clinics and locations can be found on the DOH website at .hawaii.gov/health or by calling (808) 832-5731. All screening and testing is free and no appointment is needed.
TB skin test process During the first visit, you can expect: A healthcare provider will clean and disinfect the skin on your lower inner forearm. Theyll inject a small amount of fluid (called tuberculin or PPD) with a tiny needle under the skin on your lower inner forearm.
The average cost for a tuberculosis (TB) test is approximately $50 to $350. The cost of TB testing can vary depending on factors such as the type of test, insurance coverage, and the healthcare provider.
How to get tested. You can get tested for TB at the health department or at your health care providers office. Your health care provider will choose the TB test that is best for you. Public and private health care plans may cover TB testing costs.

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