Respiratory query 2026

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The document is a respiratory health query form for employees who have previously tested positive for tuberculosis (TB). It requests personal information and details about respiratory symptoms, including cough, weight loss, fever, night sweats, and fatigue. Employees are instructed to submit the completed form via fax or email to Employee Health.

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Click ‘Get Form’ to open the respiratory query in the editor.
Begin by entering your personal information: fill in your name, employee ID number, and extension in the designated fields.
Provide optional details such as the date of your positive skin test and the date of your last chest X-ray if applicable.
Answer the health-related questions regarding symptoms. For each question, select 'YES' or 'NO' based on your condition. If you answer 'YES' to any question, provide additional explanations in the space provided.
Once all fields are completed, click on ‘Submit’ to send your form via email. Ensure you change the subject line to 'Respiratory Query for 2010 TB Screening'.
Alternatively, you can print the form directly from the editor and fax it to Employee Health at (713) 745-7164 or (713) 745-3352.

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