2 Step TB Skin Test Form for 1st Year Nursing Students

Your 2-Step TB Skin Test must be recorded on the official form and fully completed by a healthcare provider. If the clinic uses its own stationery, it must include the following information for both tests: Date Administered, Date Read, and Result, along with the name and signature of the person who administered the test, and the clinic’s full name and address (a stamp is acceptable). TB Skin Tests recorded on immunization records will not be accepted. A proper 2-Step TB Skin Test requires four separate visits to the healthcare provider.

Do not get a TB Skin Test if you have ever had a documented positive TB Skin Test or history of TB infection. You will be required to submit a most recent chest x-ray indicating no active TB present and a TB Status Declaration Form.