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History of positive ppd

This form is required only of those with a history of positive PPD or other positive TB test result 2026

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The document is an Annual Tuberculosis Symptom Review Form required for individuals with a history of positive TB tests. It collects personal information and assesses current or past symptoms related to tuberculosis, including fever, night sweats, chronic fatigue, and others. The form must be submitted yearly to the Compliance Office via fax or email.

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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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What does a positive PPD result mean?

An abnormal (positive) result means you have been infected with the bacteria that cause TB. You may need treatment to lower the risk of the disease coming back (reactivation of the disease). A positive skin test does not mean that a person has active TB.

How to document PPD results?

How to Document a TB PPD Test With an active client selected, begin on the Flow Sheets page. See General Client Search for details on opening the active clients record. Select the TB PPD Test Flow Sheet template from the dropdown. Click the New icon in the tool bar. A TB PPD Test Flow Sheet Entry screen will open.

What does PPD status mean?

Permanent Partial Disability (PPD) or medical impairment benefits are those benefits that compensate a claimant for permanent loss of function or impairment to a particular body part.