Tuberculosis Skin Test Form at a glance
What it is: The PPD (Mantoux) Test Result on the Tuberculosis Skin Test Form is Negative or Positive.
Who signs: If you administered it, sign the Signature (administered by) line; if you read or reported the results, sign the Signature (results read/reported by) line.
A filled-in Tuberculosis Skin Test Form example: a nurse records a negative test

How to fill out Tuberculosis Skin Test Form, box by box
Healthcare Professional/Patient Name, Testing Location and Date Placed
Site, Lot # and Expiration Date
Date Read, Induration and PPD (Mantoux) Test Result
More rules for Tuberculosis Skin Test Form
In order for this document to be valid/acceptable, all sections of this form must be completed.
Common questions about Tuberculosis Skin Test Form
Is there a deadline?
Date Read is within 48-72 hours from date placed.
Sources
[1] Tuberculosis Skin Test Form (the served file; no issuer file) (the Official source link on this page).





