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At Auto Injury Home Care Specialists we believe that continuing education and communication are important components to providing excellent and consistent care. We have developed a completely online program allowing our employees to increase their knowledge and stay current learning new ways to improve the care they provide.

Auto Injury Home Care Specialists

Annual Tuberculosis Questionnaire

PLEASE FILL OUT AND SUBMIT THE FOLLOWING ANNUAL TUBERCULOSIS QUESTIONNAIRE

Have you noticed any of the following?

Unexplained Fevers
Night Sweats
Unintentional Weight Loss
Excessive Coughing
Hoarseness
Bloody Sputum
Have You Had INH Therapy?
Have You Ever Had A BCG Vaccine?
HaveYou Had An X-Ray While Being Employed Here?
I have read and understand the TB questionnaire. By signing and dating below, I am agreeing that I have answered all of the questions honestly and to the best of my ability. If I knowingly provide false information, I understand that I could be terminated and lose my employment with Auto Injury Home Care Specialists

Thank you for completing your annual TB questionnaire.

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