OHS​​​​​​​ ► TB Surveillance Form

Please fill out the demographic, TB history, and symptom review areas before you come in and we will take care of the rest for you.

Click, print and complete this form ahead of your scheduled appointment to expedite the check-in time/process

► TB Surveillance Form (PDF Fillable)

► TB Surveillance Form (Blank)

Related

OHS ► Tuberculosis (TB) Surveillance

Looking for annual TB test information? or are you a new hire of City & County of San Francisco looking to get your TB tests done? Read and click here for more information.

OHS ► Credentialing

All applicants (new and reappointments) are required to submit proof of immunity for certain communicable diseases. ZSFG Medical Center requires that you also have annual Tuberculosis screening and N95 fit testing to work in-patient care areas.

Last updated December 4, 2024

Department

Occupational Health Service (OHS) at Zuckerberg San Francisco General Hospital (ZSFG)