California Tuberculosis Risk Assessment for School Staff and Volunteers 2026

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  1. Click ‘Get Form’ to open the California Tuberculosis Risk Assessment in our editor.
  2. Begin by entering the Name of Employee/Volunteer Assessed for TB Risk Factors at the top of the form, followed by the Assessment Date and Date of Birth.
  3. In the History of Tuberculosis Infection or Disease section, check 'Yes' if there is a documented history of positive TB test or TB disease. If checked, ensure that a symptom review and chest x-ray are performed by a qualified health care provider.
  4. If you check 'No', proceed to assess risk factors for tuberculosis. Review each risk factor listed and check any applicable boxes that apply to the individual being assessed.
  5. Complete the Certificate of Completion section at the end of the form, including the name of the person assessed, date of assessment, and signature of the health care provider.

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Perform annual screening for symptoms of TB disease. Annually reevaluate the risk and benefits of treatment for latent TB infection. Ensure health care personnel know the symptoms of TB disease that should prompt an immediate evaluation between screening.
Per California Education and Health and Safety Codes, the TB risk assessment is to be administered by a health care provider. The risk assessment should be administered face-to-face. However, given the COVID-19 emergency response, the TB risk assessment may also be administered via telehealth.
California law requires that school staff and volunteers working with children and community college students be free of infectious tuberculosis (TB) disease. These updated laws reflect current federal Centers for Disease Control and Prevention (CDC) recommendations.
NOTE: School governing authority can require more frequent or more extensive examinations. Employees with negative skin tests: Repeat skin test every 4 years. Employees with positive skin tests: Must furnish a certificate from a health provider every 4 years showing that employee is free from active TB.
CalOSHA Annual TB testing of Health Care Personnel Code (A) TB tests and other forms of TB assessment shall be provided at least annually, and more frequently if applicable public health guidelines or the local health officer recommends more frequent testing.
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Youll be given a chest x-ray to test for TB . If the result of the x-ray is not clear you may also be asked to give a sputum sample (phlegm coughed up from your lungs). If your test shows that you do not have TB , youll be given a certificate which is valid for 6 months from the date of your x-ray.

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