Form CDCR 7336-2026

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  1. Click ‘Get Form’ to open it in the editor.
  2. 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.
  3. 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.
  4. 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.
  5. 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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Versions Form popularity Fillable & printable
2020 4.1 Satisfied (32 Votes)
2015 4.4 Satisfied (28 Votes)
2002 4.9 Satisfied (44 Votes)
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How much does a TB Skin Test cost in California? On MDsave, the cost of a TB Skin Test in California is $49.
California requires: Initial Testing: Completed prior to the start of employment. Follow-up Screening: A TB risk assessment must be completed every four years. Retesting is only necessary if the risk assessment identifies continued risk.
A tuberculosis (TB) skin test can tell if you have TB germs in your body. A TB skin test requires two visits with your health care provider. The TB vaccine may cause a false-positive TB skin test reaction.
CDCR Form 7354 Tuberculosis Infectious Free Staff Certification. CDCR Form 7336 Employee Tuberculin Skin Test (TST) and Evaluation.
Annual TB testing is not recommended unless there is a known exposure or ongoing transmission. State and local TB regulations may differ.

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Youll be given a chest x-ray to test for TB . If the result of the x-ray is not clear you may also be asked to give a sputum sample (phlegm coughed up from your lungs). If your test shows that you do not have TB , youll be given a certificate which is valid for 6 months from the date of your x-ray.

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