Lutheran tb questionnaire form 2026

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  1. Click ‘Get Form’ to open the lutheran tb questionnaire form in the editor.
  2. Begin by entering your CLU ID# and personal information, including your name and date of birth. Ensure all details are accurate for proper identification.
  3. 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.
  4. If applicable, circle any countries from the provided list where you were born or have traveled frequently. This helps assess your risk level accurately.
  5. Once completed, review your answers for accuracy. Use our platform's editing tools to make any necessary changes before finalizing.
  6. 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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Complete your TB risk assessment online through the myUOHealth portal.
Walgreens offers TB testing at select locations. Go to Walgreens.com or use the Walgreens App and select Find Care to find a site near you. TB Control Offices located in various cities, states and territories, and primary and urgent care clinics in your area may also offer TB testing. Published November 2020.
Baseline TB screening of all employees should be conducted with an approved test. The tuberculin skin test (TST) can be used to screen for tuberculosis infection, using the Mantoux method with 5 tuberculin units of purified protein derivative (PPD). Employees are not allowed to read or interpret their own TST results.
Who may administer the TB risk assessment? Per California Education and Health and Safety Codes, the TB risk assessment is to be administered by a health care provider. The risk assessment should be administered face-to-face.
The nursing home must develop and implement a system to ensure that facility personnel and residents have tuberculosis testing within three days of employment or admission. 2. The nursing home must also ensure that facility personnel are tested annually 3.