TWOSTEP PPD IMMUNIZATION RECORD - bucks 2026

1. Click ‘Get Form’ to open the TWOSTEP PPD IMMUNIZATION RECORD in the editor.
2. Begin by entering your name in the 'Name of Student Candidate' field. Ensure that you print clearly for legibility.
3. Fill in your address, home phone, cell phone, and date of birth in the respective fields. This information is crucial for identification purposes.
4. For the two-step PPD administration, record the date of PPD #1 administration, read date, and induration measurement (in mm) in the designated fields.
5. If PPD #1 is negative, wait one to two weeks before administering PPD #2. Record similar details for PPD #2 as done for PPD #1.
6. If applicable, complete the chest X-ray section only if the results from PPD are positive. Attach a copy of the Chest X-Ray report as required.
7. Finally, ensure that a licensed physician or certified nurse practitioner signs and provides their contact information at the bottom of the form.

Start using our platform today to easily fill out your TWOSTEP PPD IMMUNIZATION RECORD for free!