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Get Tb Questionnaire 2013-2024

Wer the following six questions: 1) Have you ever had close contact with persons known or suspected to have active TB disease? Yes No 2) Were you born in one of the countries listed below that have a high incidence of active TB disease? Yes No (If yes, please CIRCLE the country, below) PLEASE MAIL COMPLETED FORM TO HEALTH SERVICES IN THE ENCLOSED ENVELOPE BY: AUGUST 1 FOR FALL SEMESTER JAN. 2 FOR SPRING SEMESTER Afghanistan Algeria Angola Argentina Armenia Azerbaijan Bahrain Bangla.

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