Virginia Tb Screening Form - Web each report must be dated and signed by the examining physician, the physician’s designee, or an official of a local health. For use in individuals 6 years and older. Web virginia tuberculosis (tb) risk assessment for use in individuals 6 years and older first screen for tb symptoms: ☐ none (if no tb. ☐ none (if no tb. ___active tuberculosis cannot be ruled out in the individual listed. Web if either test for tb infection is positive, proceed to section iv, iv. Web virginia tuberculosis (tb) risk assessment. First screen for tb symptoms: Web virginia department of health division of tb control instructions for the tb risk assessment (tb 512) purpose of form.
☐ none (if no tb. For use in individuals 6 years and older. Web virginia tuberculosis (tb) risk assessment. Web virginia tuberculosis (tb) risk assessment for use in individuals 6 years and older first screen for tb symptoms: First screen for tb symptoms: Web virginia department of health division of tb control instructions for the tb risk assessment (tb 512) purpose of form. ☐ none (if no tb. Web each report must be dated and signed by the examining physician, the physician’s designee, or an official of a local health. ___active tuberculosis cannot be ruled out in the individual listed. Web if either test for tb infection is positive, proceed to section iv, iv. Web individual is free of tuberculosis in a communicable form.