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This form is required only of those with a history of positive PPD or other positive TB test result 2026
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How to use or fill out This form is required only of those with a history of positive PPD or other positive TB test result
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- Click ‘Get Form’ to open it in the editor.
- Begin by entering your Student Name in the designated field at the top of the form.
- Fill in your Date of Birth and Student ID accurately to ensure proper identification.
- Indicate whether you are currently exhibiting any symptoms of TB by checking 'Yes' or 'No' for each symptom listed.
- If you answered 'yes' to any symptoms, provide a detailed explanation in the space provided, including how the symptoms began and their duration.
- Answer whether you have had an x-ray done to rule out TB, and if so, specify when it was conducted.
- If applicable, describe any treatment you have received for TB, including details about the treatment and its timing.
- Complete the form by printing your name, signing it, and dating it at the bottom before submission.
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| Versions | Form popularity | Fillable & printable |
|---|---|---|
| 2016 | 4.4 Satisfied (28 Votes) |
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