ROYAL ADELAIDE HOSPITAL
SA TB Services
Please complete the following questionnaire if you are a Health Care student
studying in SOUTH AUSTRALIA.
This is a one time requirement prior to FIRST placement, valid for five years.
DO NOT COMPLETE THIS QUESTIONNAIRE MORE THAN ONCE!
The information you submit will be used only for the purpose of assessing
your need for further TB screening.
Once you fully complete and submit the questionnaire,
you will be sent a follow-up email from SA TB Services within two weeks
All personal information will be held confidentially and securely by SA TB Services
and will not be shared with any third parties.
If you do not wish to complete this form online,
please ring the Chest Clinic, 275 North Tce, Adelaide on 7077 2904.
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