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TB Skin Test Form Template

This TB Skin Test Form Template is used by healthcare providers, hospitals, and educational institutions to document and manage Tuberculosis (TB) skin test results effectively. Collect results from the patients with this form, send them for scrutiny and further medical practice. Our platform adheres to HIPAA compliance which makes the form-filling process more secure.

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Features of the TB Skin Test Form Template

Collect TB Test Results Securely With This Form Template

Benefits of Using This TB Skin Test Form Template

Create Printable Test Forms

Thinking about how to collect test forms offline? Our platform allows hospitals to take printouts of the form. This will help you to collect responses from patients in the test center itself. SurveySparrow also provides different orientation options and paper sizes for better presentation. You can export it as a pdf file. Customize the printed form with your logo in the footer with higher pricing plans.

Multiple Page Formats

Want your PPD test forms in the traditional single-page format? SurveySparrow allows you to create single-page forms for your patients to remain connected throughout the form-filling process. Or are you a fan of one question at a time? We have that too. With multiple-page formats, you can ask your patients questions on multiple pages and make it more lively. 

Use Expressions To Help Diagnosis

SurveySparrow allows you to show whether the patient is likely to have TB or not using the expressions feature. You can give different scores to each option in multiple-choice questions. Based on their answers, you can display the final score to show if the respondent is in the risk zone, neutral, or safe. Also display personalized thank you pages.

Contact Forms for Demographics

We have 20+ question types in our drag-and-drop builder. A contact form is one such type that allows you to collect all the demographic information of your patients. You will not miss any information regarding your patients as you can add all the relevant sections like patient name, email, testing location, date of testing, phone number, city and more.

Use this Patient Satisfaction Survey Template to collect feedback from your patients

Skip/Display Logic

With our Skip/Display logic, you can ask only relevant questions to your patients. For instance, if your patient is not previously diagnosed with tuberculosis, you can use skip logic to spare them from answering unrelated questions. This way you can ask personalized questions to your patients and improve the test result collection process.

Install Kiosk Devices for Offline Responses

SurveySparrow’s platform allows you to create offline forms and collect data even in the absence of the internet. All you have to do is sync your kiosk devices with SurveySparrow by entering the IMEI number of the device. Install the device in your reception area and let the patients complete it with ease.

130+ Languages Supported

SurveySparrow allows you to collect responses from any language. This template supports 130+ languages and comes with an inbuilt Google translator. You can also use the translator editor to preview your questions in a specific language and edit them accordingly. This approach allows you to gather feedback from patients with diverse backgrounds.

HIPAA Compliant Form

SurveySparrow is a HIPAA-compliant platform. Every patient information that is collected is encrypted in transit, end to end using Advanced Encryption Standard (AES). The two-factor authentication feature improves security by allowing the users to log in only through security codes. It is not possible to log in to your account without the security code, minimizing data breaches. 

SurveySparrow also implemented role-based access control for limited accessibility for users.  The admin can decide the roles of each user thereby ensuring more security. Identity verification is another feature where a person’s identity is verified before accessing the account information.

Ensure safety protocols with our Patient Safety Culture Survey Template

Use Cases of This TB Skin Test Form Template

  • Immigration Health Requirements: For individuals traveling abroad or applying for permanent residency to comply with health regulations.
  • Employee Screening: To ensure new joiners are free from TB and reduce chances of spreading.
  • Routine Health Check-Ups: For regular health assessments in clinics and hospitals.
  • School and Educational Institutions: For students taking admission to schools or universities.
  • Health Centers: To test individuals who have been in contact with someone diagnosed with TB.

How to use this TB Skin Test Form Template

Step 1: Customize To Your Choice

Scroll up, click on ‘Use this Template’, and sign up to create a customized registration form. Change up the background, font, and even personalize the welcome and thank-you pages according to your choice. Need text inspiration? Let AI Wings rephrase questions or descriptions! 

Step 2: Integrate For Easy Workflow

Streamline your workflow by integrating with essential apps. Sync test details with Google Sheets, automate email follow-ups with Mailchimp and unlock a range of possibilities with SurveySparrow’s vast integration library.

Step 3: Share It With Your Patients

Whether it’s through a unique link, website embed, email invite, or a QR code, our platform offers diverse sharing options to reach your customers wherever they are.

Step 4: Analyze The Results

Export responses to CSV for offline analysis and use SurveySparrow’s dashboard for segmentation and visualization. Interpret the form efficiently for further contact and admission procedures.
 

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