Virginia's one-page TB screening and risk assessment, with a two-page user guide, helps decide whether an asymptomatic person 6 or older should be tested for latent TB infection. It starts with a symptom screen, then a checklist of risk factors; any checked risk means testing is recommended. Its findings support the Report of Tuberculosis Screening that employers and schools receive.
A licensed MD, PA, NP, RN or LPN may complete the symptom screen and risk assessment, recording name, title and signature; an RN or LPN doing further evaluation needs an order from a clinician with prescriptive authority.
Download the current version from the source each time; forms change without notice.
Virginia Tuberculosis (TB) Screening and Risk Assessment Tool and User Guide
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A licensed MD, PA, NP, RN or LPN can perform the symptom screen and risk factor assessment. If a symptom or risk factor is found, a licensed provider should do the further evaluation, and an RN or LPN needs an order from someone with prescriptive authority under Virginia practice acts.
Yes. This tool is for individuals 6 years and older, and VDH publishes a separate risk assessment and user guide for children under 6 on its TB screening and testing page, also translated into Arabic, Simplified Chinese, Korean and Spanish.