Tb test card 2026

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4 out of 5

56 votes

The document is a Tuberculin Test Registration form from the North Dakota Department of Health, designed for reporting positive test results related to tuberculosis. It requires detailed information about the individual being tested, including personal details, test dates, results, treatment information, and physician contact. The form emphasizes the need to complete all sections accurately and provides instructions for submission to the health department.

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Click ‘Get Form’ to open the tb test card in the editor.
Begin by filling out the 'Person Completing Card' section. Enter your name, facility, and contact number.
Next, provide the patient's details including their name, phone number, address, date of birth, race/ethnicity, and country of birth.
Indicate if the patient is a previous reactor and provide relevant dates for any past tests.
Fill in the reason for the test (e.g., employment) along with dates for TST planted and IGRA.
Record results and any prescribed medication. Specify if the patient is a former TB client and include treatment details.
Complete additional sections regarding x-ray results and monitoring treatment as applicable.
Finally, review all entries for accuracy before saving or sending the completed form to the North Dakota Department of Health.

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Versions	Form popularity	Fillable & printable
2023	4.6 Satisfied (59 Votes)
2010	4 Satisfied (56 Votes)

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