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Form CDCR 7336-2026
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- Click ‘Get Form’ to open it in the editor.
- Begin by filling out Section 1 with your personal information. Ensure you print or type your full name as it appears on your state paycheck, along with your birthdate, gender, and personnel number if known.
- In Section 2, provide details regarding any prior TB tests or infections. If applicable, indicate whether you have had a positive TB test or disease and include the date.
- Proceed to Section 3 where the health care provider will document the administration of the TST or blood test. Make sure they record the results accurately.
- Complete Sections 4 through 6 based on the evaluation results. This includes checking for symptoms and signing off by a licensed evaluator.
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Related links
The employee must provide the results of the TST or Tuberculosis (TB) blood test and evaluation on the required Employee Tuberculin. Skin Test (TST) andRead more
Jun 3, 2015 at no cost to CDCR, a form CDCR 7336, Employee Tuberculin Skin Test (TST) and Evaluation, prior to commencement of services under thisRead more