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Official printable tb screening sheet 2011 form-2025

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The document is a tuberculosis screening report from the Virginia Department of Health, detailing evaluations conducted on an individual. It includes results from a Tuberculin Skin Test (TST), Interferon Gamma Release Assay, and chest X-ray, indicating whether the individual is free of communicable tuberculosis or if further evaluation is needed due to abnormal findings.

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Click ‘Get Form’ to open the official printable tb screening sheet 2011 form in the editor.
Begin by entering the date at the top of the form. This is essential for record-keeping.
Fill in the individual's name and date of birth in the designated fields to ensure accurate identification.
In the Tuberculin Skin Test (TST) section, input the date given and results. Select either negative or positive based on test outcomes.
Complete the signature section by having a qualified MD or health department official sign and date it, along with their address and phone number.
For the Interferon Gamma Release Assay section, repeat similar steps: enter date drawn, time drawn, and select result status.
Proceed to fill out both Chest X-Ray sections as applicable, ensuring all signatures and contact information are provided.

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Versions	Form popularity	Fillable & printable
2017	4.8 Satisfied (90 Votes)
2011	4 Satisfied (35 Votes)
2011	4.4 Satisfied (278 Votes)

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What happens in a TB screening?

TB screening involves the active identification of people at risk for TB disease. Populations or high-risk groups are screened by assessing symptoms and by using tests, examinations or other procedures that can be applied rapidly. TB screening is sometimes also referred to as active TB case finding. Tuberculosis: Systematic screening - World Health Organization (WHO) World Health Organization questions-and-answers item sy World Health Organization questions-and-answers item sy

What is a TB clearance letter?

WHAT TO BRING All applicants must appear in person for the examination. Original ID Card (NIC) is also required at the time of examination. Original Valid Passport. Two coloured photocopies of the passport data page.

How can I get a copy of my TB skin test?

This letter is to document that is free of communicable tuberculosis disease. He/she is free to participate in any activity including work, school, adoption, foster care, etc. - At this time there is no need for any further testing or treatment for this patient.

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