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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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