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Tb pre screening questionnaire coastal carolina

Tb pre screening questionnaire coastal carolina 2026

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The document provides instructions for Coastal Carolina University students on how to complete the Immunization/TB Prescreening Form, which is mandatory for enrollment. It outlines the requirements for submitting immunization records, deadlines for submission, acceptable forms of documentation, and details about tuberculosis screening. Additionally, it includes sections for personal information, required immunizations, recommended immunizations, exemptions, and a healthcare provider's signature.

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Click ‘Get Form’ to open the tb pre screening questionnaire in the editor.
Begin with Section A: Personal Information. Fill in your full name, date of birth, and CCU ID number or Social Security Number. Ensure all demographic information is accurate.
Move to Section B: Required Immunizations / Tuberculosis Prescreening. Have your healthcare provider complete this section, including any necessary immunizations and a signature or stamp.
In Section C: Recommended Immunizations, indicate any additional vaccines you may have received. This section is optional but recommended based on your academic program.
For Section D: Immunization Exemptions, check any applicable boxes for exemptions and attach supporting documentation if needed.
Finally, ensure Section E is completed by your healthcare provider with their signature or stamp before submitting the form.

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What questions to ask when screening for TB?

Tuberculosis Risk Assessment Have you had a cough lasting more than three weeks? Have you lived with or spent time with anyone who had or may have had TB? Have you lived in or visited any of the following areas for more than a month: Africa, Asia, Mexico, Central or South America, the Caribbean or Eastern Europe?

What does TB screening involve?

For a TB test in blood (also called an IGRA test), a health care professional will take a blood sample from a vein in your arm, using a small needle. After the needle is inserted, a small amount of blood will be collected into a test tube or vial. You may feel a little sting when the needle goes in or out.

What are TB questions?

Tuberculosis (TB) is caused by a bacterium called Mycobacterium tuberculosis (M. tuberculosis). The bacteria, or germs, usually affect the lungs. TB germs can affect any part of the body, such as the kidneys, spine, or brain.

What not to do before a TB test?

In general, theres nothing you have to do before this test, unless your healthcare provider asks you to.

What is the early screening for TB?

The tuberculin skin test (TST) is commonly used for screening for early detection of TB [29]. The TST is also known as the Mantoux test [29]. It involves injecting a small amount of purified protein derivative (PPD) into the skin and then evaluating the size of the resulting induration after a specified time [29].