Printable tb test form for employment 2025

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  1. Click ‘Get Form’ to open the printable tb test form for employment in the editor.
  2. Begin by entering today’s date in the designated field at the top of the form. This helps establish a timeline for your submission.
  3. Fill in your full name and department. Ensure that all information is accurate, as this will be used for identification purposes.
  4. Provide your ID number in the specified section. If you do not have one, consult your supervisor for guidance.
  5. Complete the sections regarding prior employment with Cleveland Clinic by selecting 'Yes' or 'No' as applicable. This information is crucial for processing your application.
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WHAT TO BRING All applicants must appear in person for the examination. Original ID Card (NIC) is also required at the time of examination. Original Valid Passport. Two coloured photocopies of the passport data page.
This letter is to document that is free of communicable tuberculosis disease. He/she is free to participate in any activity including work, school, adoption, foster care, etc. - At this time there is no need for any further testing or treatment for this patient.
TB Testing and Employment Rights Its important to understand that having a positive TB test result does not automatically disqualify someone from working. Employers are required to make reasonable accommodations for employees with medical conditions, including latent TB infection.
The purpose of the TB risk assessment and screening form is to identify persons with increased risk for TB who may require further testing and evaluation. Persons born in countries where TB is common are at increased risk for TB (especially, but not limited to those who arrived in the last 5 years).
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