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TB Screening - National Association for Family Child Care - nafcc

TB Screening - National Association for Family Child Care - nafcc 2026

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The document outlines the requirements for tuberculosis (TB) screening for family child care providers and their assistants. It includes sections for personal information, TB screening status, and a health care professional's verification of the results. The document specifies conditions under which a provider can work with children based on their TB test results, emphasizing that the screening is valid for two years.

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Click ‘Get Form’ to open it in the editor.
Begin by filling in your name and selecting whether you are a Child Care Provider or an Assistant. Ensure your contact number is accurate.
Next, provide your complete address, including city, state, and zip code.
In the TB screening status section, check the appropriate box that reflects your TB test results. If applicable, enter the date of your test.
If a health care professional has completed your TB screening, ensure their signature is included along with the date and their contact information.
Review all entries for accuracy before saving or exporting the completed form.

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