Cdc 7336 form-2025

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  1. Click ‘Get Form’ to open the CDC 7336 form in the editor.
  2. Begin by entering the employee's full name as it appears on their state paycheck in the designated fields for first, middle initial, and last name.
  3. Select the gender and input the birthdate along with the last six digits of the social security number.
  4. Indicate whether the individual is a new employee or cadet by selecting 'Yes' or 'No'.
  5. Fill in the institution or division, unit or branch, and department if not CDCR.
  6. Complete prior TST/TB history by checking 'Yes' or 'No' for significant TB skin test/infection and provide relevant dates and induration size if applicable.
  7. Document TST administration details including injection site, lot number, expiration date, and evaluator information.
  8. Check for any symptoms related to TB and indicate if a chest X-ray is needed. Provide comments as necessary.

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2020 4.1 Satisfied (32 Votes)
2015 4.4 Satisfied (28 Votes)
2002 4.9 Satisfied (44 Votes)
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Keep a record of your positive test result Ask your health care provider to give you a written record of your positive TB blood test result. This will be helpful if you are asked to have another TB test in the future.
At time of reading: Name and signature of person reading test. Date and time test read. Exact number of mm of induration (if no induration, document 0 mm) Interpretation of reading (i.e., positive or negative, based on individuals risk factors)
Key points. Tuberculosis (TB) screening programs for health care personnel are part of TB infection control plans. CDC recommends all U.S. health care personnel should be screened for TB upon hire. Annual TB testing is not recommended unless there is a known exposure or ongoing transmission.
Ask your health care provider for a written record of your positive TB test result. This will be helpful if you are asked to have another TB test in the future.
Do not record as positive or negative. Only record measurement in millimetres. If no induration, record as 0 mm.
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People also ask

In the end, the employer likely has a legitimate, non-discriminatory business purpose for requiring the TB test. Therefore, it can require submitting to the test as a condition of employment and can terminate at-will employees for refusing.
Your health care provider MUST check your arm 2 or 3 days after the TB skin test, even if your arm looks OK to you. If you have a reaction to the test, it will look like a raised bump. Your health care provider will measure the size of the reaction. If there is a bump, it will go away in a few weeks.

example of tb lot number