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Appendix C 11 - Sample FGP-SCP TB Test Form: Fill out & sign online 2025

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The document is a sample TB Test Form for the ABC Foster Grandparent/Senior Companion Program, outlining the requirements for tuberculosis testing for volunteers. It includes sections for personal information, test results, and provider details, as well as a separate screening form for those with a history of positive TB tests. The form emphasizes that while TB tests are not mandated by AmeriCorps Seniors, they may be required by certain sponsoring agencies.

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Versions	Form popularity	Fillable & printable
2022	4.8 Satisfied (151 Votes)
2017	4.5 Satisfied (30 Votes)

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How to document a TB test result?

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.