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CVUSD Employee TB Clearance Forms
Employee TB Risk Assessment
If you wish to have your physician complete your TB clearance, please print the TB Risk Assessment Questionnaire AND Certificate of Completion forms. Complete the questionnaire by checking the boxes that apply to you. Your physician will need to review both forms and sign the Certificate of Completion.
Keep a copy for your own records and forward the original to Darlene Raya in Human Resources. If there is a charge by your physician, you are responsible for payment.
