Home
Forms Library
Tb questionnaire form cdc

Tb questionnaire form pdf 2025

tb questionnaire form cdc Preview on Page 1

See details

4.4 out of 5

38 votes

The document is a questionnaire from UAB Student Health Services designed to assess students for potential tuberculosis (TB) risk factors. It includes questions about symptoms related to TB, previous HIV status, and immune-suppressing medications. Students must certify the accuracy of their responses, and those who answer 'yes' to any questions may require further evaluation and testing.

Here's how it works

01. Edit your tb questionnaire form cdc online

Type text, add images, blackout confidential details, add comments, highlights and more.

02. Sign it in a few clicks

Draw your signature, type it, upload its image, or use your mobile device as a signature pad.

03. Share your form with others

Send tb questionnaire form via email, link, or fax. You can also download it, export it or print it out.

How to use or fill out tb questionnaire form pdf with DocHub

Ease of Setup

DocHub User Ratings on G2

Ease of Use

DocHub User Ratings on G2

Click ‘Get Form’ to open the tb questionnaire form in our editor.
Begin by entering your name in the designated fields for Last/Family, First, and MI. Ensure accuracy as this information is crucial for identification.
Input your Student ID#/B0 and the date in the respective fields. This helps maintain your records correctly.
Carefully read each question regarding symptoms experienced in the past year. For each symptom, select 'Y' for yes or 'N' for no.
If you answered 'yes' to any questions, provide detailed explanations in the space provided below those questions.
Finally, certify that all information is true by signing and dating the form at the bottom. This step is essential for compliance with health regulations.

Start using our platform today to fill out your tb questionnaire form easily and for free!

be ready to get more

Complete this form in 5 minutes or less

Get form

Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

What to expect on a TB test?

The test is done by putting a small amount of TB protein (antigens) under the top layer of skin on your inner forearm. If you have ever been exposed to the TB bacteria (Mycobacterium tuberculosis), your skin will react to the antigens by developing a firm red bump at the site within 2 or 3 days.

What questions do they ask for TB screening?

Tuberculosis Risk Assessment Have you had a cough lasting more than three weeks? Have you lived with or spent time with anyone who had or may have had TB? Have you lived in or visited any of the following areas for more than a month: Africa, Asia, Mexico, Central or South America, the Caribbean or Eastern Europe?

Can an RN do a TB risk assessment?

If you are located at a school site, the California School Employee TB Risk Assessment Questionnaire can be completed in-person with the school site Registered Nurse.

What questions to ask about TB?

Frequently Asked Questions (FAQs) What is tuberculosis? What is the difference between TB infection and TB disease? Who can get TB? What are the symptoms of TB? Who should be tested for TB? How can TB be tested for? What is the treatment for TB? What if I have HIV?

How to do a TB assessment?

A sample of blood is sent to a lab. One lab test finds out whether certain immune system cells can recognize tuberculosis. A positive test shows that you have either a latent TB infection or active TB disease. Other tests of the blood sample can help determine if you have active disease.

tb questionnaire form pdf

TB Questionnaire form cdc Printable TB questionnaire CDC TB screening Questionnaire PDF Annual TB Questionnaire form TB Screening Questionnaire form TB Screening Questionnaire for healthcare workers TB Questionnaire form Texas TB Symptom Questionnaire form

What is needed for a TB test?

Blood tests A sample of blood is sent to a lab. One lab test finds out whether certain immune system cells can recognize tuberculosis. A positive test shows that you have either a latent TB infection or active TB disease. Other tests of the blood sample can help determine if you have active disease.

What is the gold standard for TB screening?

All specimens should be cultured, regardless of whether the smear is positive or negative. Culture is the gold standard for laboratory confirmation of TB disease. A positive culture for M. tuberculosis confirms the diagnosis of TB disease.