Any employee with a positive Approved TB Screening Test or with a history of latent TB infection or TB disease shall be further evaluated by a licensed health care provider.
Evaluation: tuberculosis evaluations must be completed no more than one year prior to employment.
Retained: this form shall be retained in the files of the current employer or individual following evaluation and certification.
Review: these forms shall be subject to review by DPH.
| Question | Answer |
|---|---|
| Form Name | 1420-ENG-DPH |
| Form Length | 2 pages |
| Fillable? | Yes |
| Fillable fields | 36 |
| Avg. time to fill out | 6 min |
| Edition | 07/2024 |
| Retained | In the files of the current employer or individual following evaluation and certification |
| Evaluation | No more than one year prior to employment |
| Other names | 1420-ENG-DPH, 1420 ENG DPH, DPH 1420, School Employee Certificate of Evaluation for Tuberculosis |
| Official source | 1420-ENG-DPH (Rev 07/2024), South Carolina Department of Public Health |
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