01. Edit your tb test questionnaire online
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Tb questionairre 2026
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- Click ‘Get Form’ to open the tb questionnaire in the editor.
- 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.
- 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.
- 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.
- 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.
- Fill out the TB health history questions honestly. If applicable, provide dates and details regarding previous TB tests and treatments.
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