TB Screening & Immunization Update Form

Dear Parents,

Please use this form to send your child’s laboratory report for TB screening. You can also use this form to send us updated immunization information. You will have the option to submit a form for another child once you complete this form.

Thank you.

Parent Name*

Parent Email*

Student Name*

First Last

Grade*

School Year*

What will you be uploading?

TB Laboratory Report.

Please note: If the TB screening test is positive or suggestive of tuberculosis, the student must see a physician and provide a medical certificate stating that they do not have active TB and are not contagious to others. Please also indicate if they have commenced treatment for tuberculosis.

What will you be uploading? 2

Immunization update

Upload Report*

Max. file size: 60 MB.

additional uploads

Have Additional uploads

Additional Uploads

Drop files here or

Max. file size: 60 MB.

Would you like to add any comments?