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Tuberculosis Screening Form
This questionnaire must be administered to all child care providers, by a licensed health care professional, before coming into contact with children.
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Tuberculosis Exposure Risk Assessment
FOR THE PATIENT (Including those with previous positive tuberculin skin test)(Check the correct response). PROVIDERS NAME. PROVIDERS SIGNATURE. DATE. Yes. No.
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Mantoux Tuberculin Skin Test Record Form
It is very unlikely that a side effect to the test will occur. If such an event does happen, the most common reaction is pain or redness at the test site.
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