Please rate Form Cdc 7336 Rev. 03-20
Tuberculosis (TB) screening must be performed by a licensed health care provider.
Positive TST: induration equal to or greater than 10 mm, or equal to or greater than 5 mm if contact or known immunocompromised.
Negative TST: induration of less than 10 mm if new, or less than 5 mm, if contact or known immunocompromised.
Chest X-ray: a copy of CXR report must be attached for all POSITIVE results.
Return: submit the completed form in a sealed envelope.
| Question | Answer |
|---|---|
| Form Name | CDCR 7336 |
| Form Length | 2 pages |
| Fillable? | Yes |
| Fillable fields | 68 |
| Avg. time to fill out | 12 min |
| Edition | Rev. 03/20 |
| Issuing agency | California Department of Corrections and Rehabilitation |
| Who completes it | The employee (Section 1) and a health care provider (Sections 2 - 7) |
| Matches the agency's file | Yes, checked October 2, 2026 |
| Other names | CDCR 7336, CDCR7336, CDCR Form 7336, Employee Tuberculin Skin Test (TST) and Evaluation |
| Official source | CDCR 7336 (Rev 03/20), California Department of Corrections and Rehabilitation |
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Please rate Form Cdc 7336 Rev. 03-20
