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Lutheran tb questionnaire form 2026

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The document is a Tuberculosis (TB) Screening Questionnaire for incoming residential students at California Lutheran University. It includes a series of questions to assess the student's risk of TB exposure and requires them to provide personal information. If any questions are answered 'Yes', further TB testing is mandated. The document also outlines procedures for healthcare providers to evaluate and manage potential TB cases, including recommendations for treatment of latent TB infection.

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Click ‘Get Form’ to open the lutheran tb questionnaire form in the editor.
Begin by entering your CLU ID# and personal information, including your name and date of birth. Ensure all details are accurate for proper identification.
Carefully read each of the six screening questions regarding TB exposure and health history. Select 'Yes' or 'No' as applicable. If you answer 'Yes' to any question, note that further action is required.
If applicable, circle any countries from the provided list where you were born or have traveled frequently. This helps assess your risk level accurately.
Once completed, review your answers for accuracy. Use our platform's editing tools to make any necessary changes before finalizing.
Print the completed form and mail it to Health Services using the enclosed envelope by the specified deadlines for your semester.

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