Step tb forms 2026

1. Click ‘Get Form’ to open the step tb form in the editor.
2. Begin by filling in the Facility Name or Physician’s Office and Phone number at the top of the form. Ensure that all information is printed clearly for easy readability.
3. Next, enter the Facility or Physician’s Office Address, Student Name, Date, and Date of Birth (D.O.B). This information is crucial for identification purposes.
4. Indicate whether you have previously had a positive result from a PPD skin test by selecting 'YES' or 'NO'. If 'YES', remember to attach a chest X-ray report from within the past 5 years.
5. For each PPD skin test administered, fill out the details including Site (Left/Right), Manufacturer, Lot #, Expiration Date, and Administered by (with full signature).
6. After administration, circle the days for reading (M – T – W – TH – F – S) and record the PPD skin test result in mm induration.
7. Finally, ensure that both PPD Reader signatures and dates/times are completed before submitting the form to Becky Lauffer as indicated.

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