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:	Download Form

GME Electronic Document Submission

https://lsuh.sc/msGMEsubmit

Instructions for Completing Form

Form should be completed by practitioner administering TB test and submitted electronically 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.

Places This Form is Referenced

Page:
Appointments & Contracts Tab (Policies and Procedures)
— Contains the following forms:
Page:

TB Form (Forms & Documents)
Page:
Appointment Packet (Forms & Documents)
— The packet consists of the following forms:
- Agreement of Appointment (GME A)
- TB Form (GME-B)
- Driver Safety Form (GME-C)
- House Officer Moonlighting Form (GME-D)
- Health Requirements Form (GME-E)
Page:

GME Online Appointment Forms (Policies and Procedures) —
Log in at https://www.medschool.lsuhsc.edu/medical_education/graduate/appointments/
If prompted, log in with your LSU username and password.

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