Tn tb risk assesment form 2010-2026

1. Click ‘Get Form’ to open the tn tb risk assessment form 2010 in the editor.
2. Begin by entering the individual's name, date of birth, and any aliases in the designated fields at the top of the form.
3. Select the facility and program type by checking the appropriate box for Residential, Non-residential, or Personnel.
4. In Section I, review each symptom related to TB disease. Circle 'Y' for yes or 'N' for no based on your assessment.
5. Proceed to Section II and document any previous TB skin test results. Fill in dates, results, agency names, and addresses as required.
6. In Section III, circle the action taken based on the responses from Sections I and II. Ensure all necessary actions are noted.
7. Finally, have the interviewer sign and date the form at the bottom before saving or sharing it directly from our platform.

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