Nc record tuberculosis screening dhhs: Fill out & sign online

Here's how it works

01. Edit your nc record tuberculosis screening dhhs 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 it via email, link, or fax. You can also download it, export it or print it out.

How to use or fill out nc record tuberculosis screening dhhs with our platform

Ease of Setup

DocHub User Ratings on G2

Ease of Use

DocHub User Ratings on G2

Click ‘Get Form’ to open the nc record tuberculosis screening dhhs in the editor.
Begin by filling in your Last Name, First Name, Patient Number, and Date of Birth in the designated fields. Ensure accuracy as this information is crucial for identification.
In Section A, answer the health questions regarding symptoms such as unexplained cough or fever. Select 'Yes' or 'No' for each question based on your current health status.
If all answers are 'No', sign and date where specified. If any two answers are 'Yes', do not complete the form and seek further evaluation.
Section B requires a licensed medical professional to certify your tuberculosis screening results. Ensure they fill out the necessary details including test dates and interpretations.
Review all entries for completeness before saving or exporting your document. This ensures that all required information is accurately recorded.

Start using our platform today to easily fill out your nc record tuberculosis screening dhhs for free!

See more nc record tuberculosis screening dhhs versions

We've got more versions of the nc record tuberculosis screening dhhs form. Select the right nc record tuberculosis screening dhhs version from the list and start editing it straight away!

Versions	Form popularity	Fillable & printable
2021	4.2 Satisfied (50 Votes)
2017	4.7 Satisfied (29 Votes)

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.

Contact us

How do I get proof of my TB test?

Ask your health care provider for a written record of your positive TB skin test result. This will be helpful if you are asked to have another TB test in the future.

How long is a TB test good for in NC?

Medicaid and NCHC shall not cover TB skin testing for job or college as described in NC Clinical Policy Guide 1D-3. Limits on initial assessment and intervention to four units of service per date of service and four units per 270 calendar days.

How to find tuberculosis test results?

Ask your health care provider for a written record of your positive TB test result.

Where to get a record of a TB test?

Keep a record of your positive test result Ask your health care provider for a written record of your positive TB skin test result.

What is TB test called on immunization records?

View your health records From test results to prescription histories, vaccinations records to visit summaries. Access your CVS medical history, as well as records for people in your care.