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11 - Sample FGP-SCP TB Test Form 2026
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- Click ‘Get Form’ to open it in the editor.
- Begin by entering your name and date of birth in the designated fields at the top of the form.
- Fill in your address and phone number accurately to ensure proper communication.
- If you have had a positive TB test previously, skip the TB test section and proceed to the next page.
- For those taking the test, enter the PPD test date and date read in their respective fields.
- Indicate the number of millimeters of induration and provide results/interpretation as required.
- Complete the provider information section, including health professional signature, hospital/clinic name, and date.
- If applicable, fill out the Positive Tuberculosis Screening Form on the second page with accurate details regarding past tests and treatments.
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