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01. Edit your example of completed tb test form online
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How to use or fill out Appendix C 11 - Sample FGP-SCP TB Test Form: Fill out & sign online
- 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.
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