Tb skin test reporting form 2025

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Your health care provider MUST check your arm 2 or 3 days after the TB skin test, even if your arm looks OK to you. If you have a reaction to the test, it will look like a raised bump. Your health care provider will measure the size of the reaction. If there is a bump, it will go away in a few weeks.
Keep a record of your positive test result Ask your health care provider to give you a written record of your positive TB blood test result. This will be helpful if you are asked to have another TB test in the future.
At time of reading: Name and signature of person reading test. Date and time test read. Exact number of mm of induration (if no induration, document 0 mm) Interpretation of reading (i.e., positive or negative, based on individuals risk factors)
All persons with clinically active or presumed TB disease should be reported to the local or state health department. Latent TB infection is reportable in some states and localities. For information on reporting requirements in your jurisdiction, consult your state TB program.
TB reports should be made to the local or regional TB public health program contact or by calling 800-705-8868. Paper reporting forms can be obtained by calling your local or regional health department, or by downloading Epi 2 form. Additional information is available on case definitions.

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Ask your health care provider for a written record of your positive TB skin test result.

printable 2 step tb test form for employment