Vanderbilt Occupational Health Clinic TB SKIN TEST REPORT MR - healthandwellness vanderbilt 2026

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by entering your NAME and DOB in the designated fields. This information is crucial for identifying your test results.
  3. Fill in the Date of Last TB Skin Test and select the Results of last TB Skin Test by checking either Positive or Negative.
  4. Indicate if you have had Recent Exposure to TB by selecting Yes or No, and provide details if applicable.
  5. The Health Care Worker who placed the TB Skin Test should fill in their name, date, time, and arm used for placement.
  6. Complete the PPD Lot # and Expiration Date fields. Ensure all entries are accurate for proper documentation.
  7. After 48 to 72 hours, have your test read by a qualified reader. Fill in their name and credentials as required.
  8. Finally, ensure that all necessary signatures are obtained before submitting the form back to OHC through our platform.

Start using our platform today to easily complete your TB Skin Test Report!

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