Our offices are now open by scheduled appointment only. COVID-19 precautions are in place following Public Health Guidelines.

Occupational Health

 

 

Tuberculin Skin Test (Belleville Location Only)     Please read carefully

 

YOUR APPOINTMENT IS NOT CONFIRMED UNTIL PAYMENT IS RECEIVED.  Payment is required for each TB Skin Test Step.

To reserve and pay for your appointment (Tuesdays), please select a future date and appointment time that suits you best.

You must return 48 hours after your TB Skin Test to have your TB test read (Thursdays). You do not book an appointment for Thursday but you must return at the SAME TIME that you attended the clinic on Tuesday.

(No refunds on cancellations or missed appointments).

PLEASE CHECK YOUR JUNK FOLDER FOR EMAILS

LIVE VACCINATIONS:  You must complete your TB Skin Test PRIOR to receiving a live immunization such as MMR (measles, mumps, rubella), Varicella, oral Typhoid or Yellow Fever OR you will be required to wait 4 weeks before starting TB Skin Testing.

ATTENTION - COVID-19 Precautions: 

Please wear a clean facemask to your scheduled appointments and complete a COVID-19 self assessment prior to attending our clinic.

TB Test Appointment

Date:July 23, 2024
Time:9:00am - 9:10am
TB Test Appointment

Belleville Location: Tuberculosis Questionnaire

 

 

 

 

Please complete and submit the registration form below to book your TB Test appointment (No refunds on cancellations or missed appointments). PLEASE CHECK YOUR JUNK MAIL FOLDER FOR EMAILS

PLEASE NOTE: If for some reason you feel your payment failed, please contact our office at 613-966-4114.

ONLY a successful payment confirms your appointment. Services will be provided at our office. All transactions are in Canadian Currency.

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NOTE:  all payments must be made in advance. 

Available Spots: 1
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Birthday*
  
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Purpose for TB Screening (please tick one)*

Tuberculin Skin Test Consent

Tuberculin Skin Testing (TST) is administered as an aid in the detection of infection with M. tuberculosis.

If YES to any of the following questions, please contact our office at 613-966-5486 and do not proceed with online booking.

Possible Side Effects:
Side effects are rare. Vesiculation, ulceration or necrosis may appear at the test sit in highly sensitive persons. There have been reports of rare systemic allergic reactions manifested by skin rash within 24 hours. Should these side effects occur, seek immediate medical attention.

Are you over 65 years of age?*
Have you had a previous severe reaction (e.g., anaphylaxis, blistering, necrosis or ulceration) to a TB skin test? *
Have you had active TB or treatment in the past?*
Have you ever had a positive reaction to a previous TB skin test which was read by a knowledgeable healthcare worker and documented?*
Within the past month, have you contracted any of the following illnesses: measles, mumps, chicken pox, infectious mononucleosis, typhoid, brucellosis, influenza or whooping cough (pertussis)?
Have you recently had immunization with a live viral vaccine (e.g., MMR -measles/mumps/rubella, varicella vaccines)?

I have read and understood all information provided to me and my questions have been answered to my satisfaction.

I authorize a nurse from Walsh & Associates Occupational Health Services Ltd. to administer TST.

I agree to seek immediate medical attention, if I should develop any health problems following the administration of the TST (such as difficulty breathing, facial swelling, high fever, muscular weakness or hives).

I will return to the Occupational Health Services on the dates provided to me by the Nurse for reading of the TST.*

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Validation Code