PDF
… TB skin test or positive
QFT, and negative Chest X-Ray, annual symptoms review must be completed. Copy of Documentation Required.
7. TDAP Vaccine
Please attach immunization record and/or serum antibody laboratory results.
Tuberculosis:
PPD Test:
OR
Quantiferon:
Date placed
Read by
Date:
Initials
Date read
Results
Results
mm
(attach copy)
I hereby…
https://www.wichita.edu/services/studenthealth/_documents/PE_GYN_PROG_7_21.pdf