Tb skin test form 2025

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The document is a patient form from Vanderbilt University Medical Center's Digestive Disease Center, specifically for the Inflammatory Bowel Disease Clinic. It details the administration and reading of a PPD (tuberculin skin test) for tuberculosis, including instructions for healthcare providers on how to document and report results. The form requires patient information, test results, and signatures to confirm understanding of the instructions.

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Click ‘Get Form’ to open the tb skin test form in the editor.
Begin by entering your Patient Name and Date of Birth in the designated fields at the top of the form.
Fill in your VUMC MRN# to ensure proper identification within the medical system.
Document the date you received the PPD (tuberculin skin test) and who administered it by filling in the respective fields.
Indicate which arm received the injection by checking either Right Arm or Left Arm.
Ensure that a healthcare provider reads your TB skin test results within 48-72 hours. If read outside of Vanderbilt, complete this form and fax it to The Digestive Disease Center.
Record the results as Negative or Positive, and note the Induration Size if applicable.
Complete the reading healthcare provider documentation section with details such as Date Read, Clinic Name, Phone, MD/NP name, and their signature.
Finally, sign where indicated to confirm your understanding of the instructions provided.

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We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

What is the PPD form?

The TB skin test is a test used to determine if a person is infected with TB bacteria. In this test, a standardized solution made with purified protein derivative (PPD), which is derived from tuberculin, is injected under the skin.

Do I need a prescription to get a TB test?

Quest offers the QuantiFERON-TB Gold Plus test. No doctor visit required, its easy to buy a test online and simple to schedule an appointment at a nearby Quest Diagnostics location.

Can you order your own TB test?

Blood testing for TB requires only 1 visit to a lab to get your blood drawn. Results are typically available in 3-5 business days. Ordering your own testing is quick and easy thanks to Request A Test. Just order online at .requestatest.com or call our team at 888-732-2348.

Can I order my own TB test?

Request A Test works with over 4,000 labs across the United States. Our goal is to make ordering your own TB testing fast and affordable. No need to get a prescription from your doctor or approval from your insurance. Just place your order and go to the lab as soon as youre ready.

Can you test for TB at home?

you can book your TB appointment online on the IOM website.

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How do you document a TB skin test?

TST Documentation Requirements Name and signature of person administering test. Date and time test administered. Location of test (e.g., right forearm, left forearm, alternate site) Tuberculin manufacturer, lot number and expiration date.

How do I get proof of TB test?

Ask your health care provider for a written record of your positive TB test result. This will be helpful if you are asked to have another TB test in the future.