Tb result form 2026

1. Click ‘Get Form’ to open the tb result form in the editor.
2. Begin by entering the 'Date Given' and 'Date Read' in the respective fields. This information is crucial for tracking the test timeline.
3. Fill in the 'Administered by' and 'Read by' sections with the names of the professionals responsible for administering and reading the test.
4. Indicate the dose administered (0.1 cc 5TU PPD) as specified on the form.
5. Select which forearm was used for the test by marking either 'R' for right or 'L' for left.
6. Place a sticker in the designated area to ensure proper identification of the test site.
7. Record the measurement of induration in millimeters (mm) and indicate whether the result is positive or negative.
8. Once completed, save your changes and return the form via email to Ann Tripicchio at credentials@cptrehab.com, or fax it to 630-766-0855.

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