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Completed by (name) - doh sd 2026
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- Click ‘Get Form’ to open it in the editor.
- Begin by entering the Facility Name and Date Completed in the designated fields at the top of the form.
- In the 'Completed by (name)' section, input your name to indicate who completed the assessment.
- Select whether the assessment was for the entire facility, a specific area, or an occupational group by checking the appropriate box and providing any necessary specifications.
- Fill in the time interval for conducting the TB risk assessment, typically for the previous calendar year.
- Gather background information on TB cases in your community and enter this data along with counties included in your risk assessment.
- Answer all relevant questions regarding potential TB transmission risks and select an applicable risk category based on your responses.
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