NFPA 1582-Physcial exam form - MTAS

PPD test (Mantoux) – PPD read. Lab Collection – CBC, Urinalysis, Glucose, BUN, Creatinine, Liver Function, Lipid Panel, PSA. Chest X-Ray. Physician must sign completed exam . PPD. 1. Have you ever had a Mantoux or tuberculosis test before? Yes No. 2. Was the test positive? ... Any other endocrine or metabolic condition that results in a ... ................
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