Completed by (name) - doh sd 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering the Facility Name and Date Completed in the designated fields at the top of the form.
3. In the 'Completed by (name)' section, input your name to indicate who completed the assessment.
4. 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.
5. Fill in the time interval for conducting the TB risk assessment, typically for the previous calendar year.
6. Gather background information on TB cases in your community and enter this data along with counties included in your risk assessment.
7. Answer all relevant questions regarding potential TB transmission risks and select an applicable risk category based on your responses.

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