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Which reason most closely describes why you need TB clearance?*
Do you have a history of a positive TB test or documented history of TB infection?*

Symptoms Screen

1. How long have you been coughing in the past 12 months?*
1.1 I've been coughing:*
2. I have been coughing up blood:*
3. In the past year, I:*
4. In the past 12 months, I have experienced night sweats:*
4.1 How often do you experience night sweats?*
4.2 How would you describe the amount of sweating?*
5. In the past year,*
5.1 Weight change:*
Please enter a number greater than or equal to 0.
6. In the past year,*

A risk factor was identified — Further Testing is Needed.

Due to identified risk factors, further TB evaluation and testing is required for TB clearance. Please follow up with your Primary Care Provider for further evaluation.

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No risk factors identified

Based on your answers, no symptoms or risk factors were identified. Please proceed to schedule an appointment for your tuberculosis clearance.

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Risk Assessment

2. Have you traveled to, or lived in, a foreign country for a total of three weeks or longer?*
3. Have you been in contact with someone with (infectious) Tuberculosis disease?*
4. Do you have a health problem that affects your immune system?*
Examples: HIV/AIDS, chronic steroid use (one month or longer), transplant recipient, cancer requiring radiation or chemotherapy.
5. Do you have a medical treatment planned that may affect your immune system or take any medications that suppress your immune system or make you more susceptible to infections?*
Examples: TNF-alpha antagonist (such as Humira, Enbrel, Remicade), chemotherapy, chronic steroids.
6. Have you lived with someone who was born in a foreign country, or had someone visit your home for a total of three weeks or longer from a foreign country?*

A risk factor was identified — Further Testing is Needed.

Due to identified risk factors, further TB evaluation and testing is required for TB clearance. Please follow up with your Primary Care Provider for further evaluation.

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No risk factors identified

Based on your answers, no symptoms or risk factors were identified. Please proceed to schedule an appointment for your tuberculosis clearance.

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Provider Review Required

Due to a potential risk factor, our provider will need to review your responses before scheduling your appointment for TB clearance, if applicable.

Full Name*
Preferred Method of Communication*
Do you have a documented previous positive test for TB infection or documented history of TB disease?*

Due to identified risk factors, further TB evaluation and testing is required for TB clearance. Please follow up with your Primary Care Provider for further evaluation.

Due to an identified risk factor, you will need a further testing to rule out Tuberculosis. If you would like to schedule an appointment with us for IGRA testing, which involves one virtual visit and one visit to a lab, please proceed to schedule an appointment. Otherwise, proceed to a local clinic for a Tuberculin skin test, which requires two visits to a clinic 48-72 hours apart.

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No risk factors identified

Based on your answers, no symptoms or risk factors were identified. Please proceed to schedule an appointment for your tuberculosis clearance.

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Is TB clearance required for initial admission or for Annual or Follow-up?
Do you have a documented previous positive test for TB infection or documented history of TB disease?

Recommendation

Per the Hawaii DOH TB Manual, you will need clearance either by Interferon-Gamma Release Assay (IGRA) testing or a two-step Tuberculin Skin Test (TST).

IGRA testing can be completed with one online visit with TB2U today and one visit to a Clinical Labs of Hawaii location.

A two-step TST involves four visits to a local clinic, with strict adherence to timing guidelines for the visits.

* Medicare does not typically pay for either service.

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Symptoms Screen

1. How long have you been coughing in the past 12 months?*
1.1 I've been coughing:*
2. I have been coughing up blood:*
3. In the past year, I:*
4. In the past 12 months, I have experienced night sweats:*
4.1 How often do you experience night sweats?*
4.2 How would you describe the amount of sweating?*
5. In the past year,*
5.1 Weight change:*
Please enter a number greater than or equal to 0.
6. In the past year,*

No risk factors identified

Based on your answers, no symptoms or risk factors were identified. Please proceed to schedule an appointment for your tuberculosis clearance.

Book Appointment Start over

A risk factor was identified — Further Testing is Needed.

Due to identified risk factors, further TB evaluation and testing is required for TB clearance. Please follow up with your Primary Care Provider for further evaluation.

Start Over
Do you have a documented previous positive test for TB infection or documented history of TB disease?

Symptoms Screen

1. How long have you been coughing in the past 12 months?*
1.1 I've been coughing:*
2. I have been coughing up blood:*
3. In the past year, I:*
4. In the past 12 months, I have experienced night sweats:*
4.1 How often do you experience night sweats?*
4.2 How would you describe the amount of sweating?*
5. In the past year,*
5.1 Weight change:*
Please enter a number greater than or equal to 0.
6. In the past year,*

A risk factor was identified — Further Testing is Needed.

Due to identified risk factors, further TB evaluation and testing is required for TB clearance. Please follow up with your Primary Care Provider for further evaluation.

Start Over

History of positive Test for TB infection or a documented history of TB disease. Discuss LTBI treatment and recommend if not provided.

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Will you be LIVING or WORKING in this Health Care Facility or Residential Care Setting?

Symptoms Screen

1. How long have you been coughing in the past 12 months?*
1.1 I've been coughing:*
2. I have been coughing up blood:*
3. In the past year, I:*
4. In the past 12 months, I have experienced night sweats:*
4.1 How often do you experience night sweats?*
4.2 How would you describe the amount of sweating?*
5. In the past year,*
5.1 Weight change:*
Please enter a number greater than or equal to 0.
6. In the past year,*

Risk Assessment

2. Have you traveled to, or lived in, a foreign country for a total of three weeks or longer?*
3. Have you been in contact with someone with (infectious) Tuberculosis disease?*
4. Do you have a health problem that affects your immune system?*
Examples: HIV/AIDS, chronic steroid use (one month or longer), transplant recipient, cancer requiring radiation or chemotherapy.
5. Do you have a medical treatment planned that may affect your immune system or take any medications that suppress your immune system or make you more susceptible to infections?*
Examples: TNF-alpha antagonist (such as Humira, Enbrel, Remicade), chemotherapy, chronic steroids.
6. Have you lived with someone who was born in a foreign country, or had someone visit your home for a total of three weeks or longer from a foreign country?*

A risk factor was identified — Further Testing is Needed.

Per the Hawaii DOH TB Manual, you will need clearance either by IGRA testing or a Tuberculin Skin Test (TST).

IGRA testing can be completed with one online TB2U visit today and one visit to a Clinical Labs of Hawaii location.

A TST involves two visits to a local clinic, with strict adherence to timing guidelines for the visits.

Book Appointment Start Over

No risk factors identified

Based on your answers, no symptoms or risk factors were identified. Please proceed to schedule an appointment for your tuberculosis clearance.

Book Appointment Start over

Provider Review Required

Due to a potential risk factor, our provider will need to review your responses before scheduling your appointment for TB clearance, if applicable.

Full Name*
Preferred Method of Communication

Recommendation

Per the Hawaii DOH TB Manual, you will need clearance either by Interferon-Gamma Release Assay (IGRA) testing or a two-step Tuberculin Skin Test (TST).

IGRA testing can be completed with with one online visit with TB2U today and one visit to a Clinical Labs of Hawaii location.

A TST involves two visits to a local clinic, with strict adherence to timing guidelines for the visits.

Book Appointment Start Over

Healthcare worker in need of Interferon Gamma Release Assay (IGRA) *per DOH, an acceptable alternative to a Tuberculin Skin Test (TST) or 2 Step TST

Please schedule your appointment below.

Book Appointment Start Over

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