Two-Step PPD Form - Drexel University - drexel 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering your Name and University ID at the top of the form. This information is essential for identification purposes.
3. Select your Program by checking the appropriate box. Ensure you choose only one option from the list provided.
4. Fill in the Date field with the current date when you are completing this form.
5. For the First PPD Test, enter the Date and Facility Name, along with its Address and Phone Number. Remember to sign where indicated.
6. Record the First PPD Reading Date and Results within 48 hours of your first test. Again, provide Facility details and a signature.
7. Repeat similar steps for the Second PPD Test and Reading, ensuring all dates and results are accurately filled out.
8. If applicable, complete the Interferon Gamma Release Assay section by circling your choice between T-Spot or Quantiferon, and indicate results as needed.

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