Tb Questionnaire Form

Tb Questionnaire Form - I understand the risks and benefits of the tb skin test and request the test be given to me. Tb screening for health care personnel includes a risk assessment, symptom evaluation, and tb test. Adult tuberculosis (tb) risk assessment questionnaire (to satisfy california education code section 49406 and health and safety code. __________________________________ _______________ hcp signature date upon review of the responses to the questionnaire and discussion with the person. I understand that if i am symptomatic for tb or if.

__________________________________ _______________ hcp signature date upon review of the responses to the questionnaire and discussion with the person. Tb screening for health care personnel includes a risk assessment, symptom evaluation, and tb test. I understand the risks and benefits of the tb skin test and request the test be given to me. I understand that if i am symptomatic for tb or if. Adult tuberculosis (tb) risk assessment questionnaire (to satisfy california education code section 49406 and health and safety code.

I understand that if i am symptomatic for tb or if. I understand the risks and benefits of the tb skin test and request the test be given to me. __________________________________ _______________ hcp signature date upon review of the responses to the questionnaire and discussion with the person. Tb screening for health care personnel includes a risk assessment, symptom evaluation, and tb test. Adult tuberculosis (tb) risk assessment questionnaire (to satisfy california education code section 49406 and health and safety code.

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I Understand The Risks And Benefits Of The Tb Skin Test And Request The Test Be Given To Me.

__________________________________ _______________ hcp signature date upon review of the responses to the questionnaire and discussion with the person. Adult tuberculosis (tb) risk assessment questionnaire (to satisfy california education code section 49406 and health and safety code. I understand that if i am symptomatic for tb or if. Tb screening for health care personnel includes a risk assessment, symptom evaluation, and tb test.

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