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NOTE: All volunteers must have proof of a TB test within the past 9 months. You must resubmit your TB form each semester that you volunteer for PEP.

 

Please print out the TB form below and ask your doctor or health facility to sign this form. 


1. Download the TB Test form for your doctor to fill out here. If your health-care provider is unable to fill out this exact form, please upload the form that they provided to you.     

2. When the form is complete, upload a picture of it using the "TB Upload Form" on this page.

 

3. If you have any problems with the form, take a photo of it with your phone (or scan it), and forward the photo/scan here

 

Submit any questions here.

This form can also be used for upload of vaccination records.

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