TB PPD Test for was completed on 2026

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  1. Click ‘Get Form’ to open it in the editor.
  2. In the first section, enter the name of the child in the designated field labeled 'TB/PPD Test for _________'.
  3. Next, input the date when the test was completed in the field marked '(Date) ___.'
  4. Review the test results section and check either 'Negative' or 'Positive' based on the outcome of the test.
  5. If applicable, provide any physician comments regarding why a TB/PPD test may not be required in the space provided.
  6. Ensure that you have a physician sign and date at the bottom of the form, along with printing their name clearly.

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