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A. SELF-ASSESSMENT (TO BE COMPLETED BY PATIENT OR PARENT ... - home nyc

A. SELF-ASSESSMENT (TO BE COMPLETED BY PATIENT OR PARENT ... - home nyc 2025

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The document is a Tuberculosis (TB) Screening Form designed for patients to self-assess their TB risk and provide relevant medical history. It includes sections for personal information, previous TB tests, symptoms, and potential exposure risks. A clinician then evaluates the responses to determine the need for TB testing and treatment options.

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Click ‘Get Form’ to open it in the editor.
Begin by entering your personal information in the designated fields, including your name, date of birth, and address. Ensure accuracy for effective communication.
Proceed to answer the questions regarding your TB history. For each question, select 'Yes', 'No', or 'Don’t know' as applicable. If you answer 'Yes' to any question, provide additional details where prompted.
For questions about past treatments or tests, include dates and results as required. This information is crucial for assessing your TB risk.
Once all sections are completed, review your responses for accuracy before signing at the bottom of the form.

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Versions	Form popularity	Fillable & printable
2015	4.9 Satisfied (50 Votes)
2006	4.3 Satisfied (60 Votes)

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In social psychology, self-assessment is the process of looking at oneself in order to assess aspects that are important to ones identity. It is one of the motives that drive self-evaluation, along with self-verification and self-enhancement.

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It is a cycle that involves examining what is happening at the service, and helps you identify your services strengths and opportunities for improvement on an ongoing basis. Engaging in self-assessment is a great way to drive your services quality improvement process.

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A. SELF-ASSESSMENT (TO BE COMPLETED BY PATIENT OR PARENT ... - home nyc 2025

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