Hawaii requires TB clearance under Hawaii Administrative Rules chapter 11-164.2 for schools, child care, food handlers and health care settings, and the Department of Health's TB Form F is the approved form for documenting it. The practitioner certifies, using the DOH TB Clearance Manual, that the person does not have TB disease. Separate sections cover school screening and health care facility screening.
A licensed practitioner (MD, DO, APRN, NP or PA) completes the whole form after the patient identifiers and signs it or applies a unique stamp, with facility details. The DOH TB program does not complete Form F; the patient's own provider does.
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TB Form F: State of Hawaii TB Clearance Form
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A licensed practitioner: a physician (MD or DO), APRN, NP or PA, using a signature or a unique stamp. The Department of Health's TB program does not complete Form F for patients; their own provider evaluates them using the DOH TB Clearance Manual and signs the form.
Section I, for schools, child care facilities and food handlers, accepts a negative TB risk assessment, a negative test for TB infection (TST in millimeters with date read, or QFT date), or a positive test followed by a negative chest X-ray.