Introducing the PPD Test Form Template by WPForms – the simplest way for healthcare providers and clinic managers to organize and document Tuberculin Skin Tests, also known as PPD tests.
How Does the PPD Test Form Template Work?
This template offers a streamlined approach for medical facilities, ensuring that tuberculosis testing is both standardized and easily recorded. Let’s break down its features:
- Patient Details: The form initiates by gathering basic but crucial patient information, such as their full name, date of birth, patient ID, email address, and contact number. This ensures that each test is accurately linked to the correct individual.
- Reason for Test: Whether it’s due to symptoms that suggest active TB, routine health checks, a job requirement, or an unfortunate recent exposure to someone with tuberculosis, the form’s checkboxes simplify this recording.
- Previous TB History (if any): Has the patient ever had a PPD test come out positive? If “Yes”, when was the last time? And was there any treatment prescribed? Knowing a patient’s history aids in better understanding and interpreting the results.
- PPD Test Details: Details such as when the PPD was placed, the specific lot number, its expiration date, and the administered dose are crucial. This ensures that every step is traceable and above board.
- PPD Test Reading: A dedicated section ensures that the reading is documented with accuracy– noting down the reading date, size of the reaction, and the ultimate result. Whether it’s negative, positive, or indeterminate, clarity is guaranteed.
- Medical Professional Details: With fields for the medical professional’s name, contact, and a signature field – made seamless with the WPForms Pro license and its Signature Addon – accountability and professional oversight are ensured.
Sign up with WPForms today and access the PPD Test Form Template to enhance documentation standards and ensure patient safety. Use our customizable template to elevate your documentation standards and deliver the best patient care.
