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Medical Clinic
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Forms

Health Record Form

Health Record Form

TB Form

This form pertains to students who answered YES to one or more of the TB Screening Questions on the Health Record Form. If this applies to you, please print this form and take it to your primary health care provider or your local health department for further assessment.

 

This should take place no sooner than 6 months prior to beginning attendance at LCU.

 

TB Form

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