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How to use or fill out Appendix C 11 - Sample FGP-SCP TB Test Form: Fill out & sign online
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Click ‘Get Form’ to open it in the editor.
Begin by entering your personal information in the designated fields, including your name, date of birth, address, and phone number.
If you have had a positive TB test previously, skip the TB test section and proceed to the next page. Otherwise, fill in the PPD test date and the date read.
Indicate the number of millimeters of induration and provide results/interpretation as required.
Complete the provider information section by adding the health professional's signature, hospital/clinic/organization name, and date.
If applicable, fill out the Positive Tuberculosis (TB) Test Screening Form with details regarding past positive tests and any follow-up treatments or symptoms.
Start using our platform today to easily fill out and sign your TB Test Form for free!
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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)
How to get a copy of TB skin test?
Ask your health care provider for a written record of your positive TB skin test result.
How do I record TB test results?
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.
How to tell results of TB test?
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.
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