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Tb Screen Form. Tuberculosis exposure screening form (english) 10/2014: Yes no 3) do you have a medical condition or are.
Web 2) have you had contact with anyone with active tb disease in the past year? Refusal to complete an evaluation for tb infection:. Yes no 3) do you have a medical condition or are. Tuberculosis exposure screening form (english) 10/2014:
Refusal to complete an evaluation for tb infection:. Tuberculosis exposure screening form (english) 10/2014: Web 2) have you had contact with anyone with active tb disease in the past year? Yes no 3) do you have a medical condition or are. Refusal to complete an evaluation for tb infection:.