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Kentucky form tb 2026
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- Click ‘Get Form’ to open it in the editor.
- Begin by entering the patient's name, date of birth, race, sex, and social security number in the designated fields. Ensure accuracy as this information is crucial for identification.
- Fill in the address details including city, state, and zip code. Provide contact numbers and indicate if the patient is pregnant along with their last menstrual period (LMP) if applicable.
- In Section I, check all active TB symptoms that apply. If none are present, skip to Section II.
- Proceed to Section II and assess risk factors for latent TB infection. Check relevant boxes based on the patient's history and exposure.
- Complete Sections III and IV by checking any findings or actions taken regarding the patient's TB risk assessment.
- Finally, ensure all signatures are provided where required before saving or sharing the completed form.
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