Tb questionairre 2026

1. Click ‘Get Form’ to open the tb questionnaire in the editor.
2. Begin by filling in your personal information at the top, including your name, social security number, date, facility, department, and date of birth. Ensure all details are printed clearly.
3. Select the reason for screening by checking the appropriate box. Options include Pre-Placement, Annual/Semi-annual, Initial Exposure, Post Exposure Baseline, Post Exposure Follow-up, or Other.
4. For fit testing, indicate any changes that may have affected your mask fit by checking all applicable boxes. This includes changes like facial injuries or significant weight fluctuations.
5. Complete the PPD testing section by answering whether you have taken steroids or chemotherapy in the past six weeks and check any relevant diseases you have been diagnosed with.
6. Fill out the TB health history questions honestly. If applicable, provide dates and details regarding previous TB tests and treatments.

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