(TB) Risk Assessment - Minnesota Department of Health 2025

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  1. Click ‘Get Form’ to open the (TB) Risk Assessment in the editor.
  2. Begin by entering the patient’s name and date of birth at the top of the form. This information is crucial for identifying the individual being assessed.
  3. In the 'Risk Assessment' section, check all applicable risk factor boxes. This helps determine if latent TB infection testing is necessary based on exposure history.
  4. Document TST or IGRA test results in their respective sections. Ensure you include dates, interpretations, and any quantitative results as required.
  5. Complete the clinician's information at the bottom, including signature and clinic details, to finalize the assessment.

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Adult Tuberculosis (TB) Risk Assessment Use this tool to identify asymptomatic adults (persons 18 years and older) who require testing for latent TB infection (LTBI). Routine testing of persons without risk factors is not recommended.
Tests that diagnose active TB infections include chest X-rays and laboratory tests on a sputum sample. Sputum is the thick mucus that you cough up from your lungs. Its different from spit or saliva. Youll need treatment for TB, whether its latent or active.
Treatment for latent TB infection is highly recommended. Perform annual screening for symptoms of TB disease. Annually reevaluate the risk and benefits of treatment for latent TB infection. Ensure health care personnel know the symptoms of TB disease that should prompt an immediate evaluation between screening.
If you are located at a school site, the California School Employee TB Risk Assessment Questionnaire can be completed in-person with the school site Registered Nurse.
This tool may be used for school-aged children to determine if a student should have a TB test. This TB Risk Assessment does not supersede any TB testing mandated by statute, regulation, or policy. A negative tuberculin skin test (TST) or interferon gamma release assay (IGRA) does not rule out active TB disease.

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You can get tested for TB at the health department or at your health care providers office. Your health care provider will choose the TB test that is best for you. Public and private health care plans may cover TB testing costs.

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