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5 3 X 3 X 3 4x

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Indications for use Complete this form for any client receiving or requesting a tuberculin skin test such as contacts persons targeted for screening or walk Tuberculin Skin Test (Mantoux only; no tine tests). Must be completed within 12 months prior to the start of classes. Date given: ___/___/___.

Two Step Tuberculin Skin Test Form Allegany College of Maryland

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5 3 X 3 X 3 4xThis questionnaire must be administered to all child care providers, by a licensed health care professional, before coming into contact with children. PPD Skin Test Record Form Patient Information I hereby agree to have a PPD tuberculin skin test To my knowledge I have not previously had a positive skin

CDC has free training materials on reading and administering the TB skin test. The Mantoux TB skin test toolkit includes a fact sheet, wall chart, video, and ... 5 3 x 2 3 E itli ini Sa layan En B y k X Tam Say Ka t r Eodev F x 3 X 3 G x 3 3x 11 Oldu una G re fog 3 Ka t r A

TB test Result Form

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The TUBERCULOSIS SKIN TEST is a way of identifying TB infection You cannot get TB from the skin test Health care workers are required to be screened regularly 6x 3 2x 7 4x 4x 3 2x X 3 4x 3x X 1 2x 7

TUBERCULOSIS SKIN TEST FORM Healthcare Professional Patient Name PPD Mantoux Test Result Negative Positive Signature results read reported 1 3 x 3 4x 5 I in X Nedir Eodev 4x 2 x 3 4x 2 2x 1 0 E itli ini Sa layan X Ger el