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Form Name:TB Form (Annual Tuberculosis Test Form)
Completed By:House Officer / Healthcare Provider
Used When:Attached to the yearly Appointment Packet
Purpose:

Required to comply with federal healthcare provider laws.

Direct Questions To:Student Health
Form Link:GME Online Appointment FormsDownload Form


View file
nameTB_Form-WithQRCode.pdf
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GME Electronic Document Submission 

https://lsuh.sc/msGMEsubmit

Instructions for Completing Form

The pre-populated form is downloaded as part of the Appointment Packet at GME Online Appointment FormsForm should be completed by practitioner administering TB test and submitted with the rest of the Appointment Packetelectronically to the GME Office. TB tests are an annual requirement and must be done within 4 months of start date or academic year change over.

Other Info

See GME Online Appointment Forms for additional information about downloading form.


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