First published on 
08/22/2018 - 10:00

 

This form may be completed by health care providers (MD, DO, ARNP, PA, RN or other appropriate designees) to document initial 2-step PPD skin testing or a single annual PPD. 

 

HSIP TB Skin Test Form
137.28KB (.pdf)
Resource id: 
762
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Health Sciences Immunization Program (HSIP) Contact

(206) 616-9074