Tuberculosis Screening Questionnaire

Tuberculosis (TB) is a bacterial infection that attacks the lungs and sometimes other parts of the body. An individual with active tuberculosis can spread the disease by coughing, sneezing, speaking, laughing and singing; distributing the bacteria in the air to be inhaled by individuals in close proximity.
 

Tuberculosis Facts

A helpful guide to completing the Tuberculosis (TB) form correctly

The State of Kansas requires all Highland Community College students that will be enrolled and entering classrooms to complete a tuberculin screening questionnaire.

Forms MUST be completed before classes begin. All students have “Tuberculosis stops” on their HCC accounts. Stops are not removed from the student’s account until TB documentation is submitted.

Students will NOT be allowed to enter classrooms if the Tuberculosis form has not been completed and submitted.

If the answer is "YES" to any of the TB form questions, a TB test is required by a health care provider.

This assessment may be obtained at the local clinic:
Amberwell Highland Clinic
415 West Main Street
Highland, KS 660635
785-442-3213

or any Health Department or physician/health clinic in your area.

IF a TB test is required, results MUST be submitted to the HCC Admissions office (contact info below) before classes begin. The student cannot attend class until TB documentation is provided.

HCC Admissions
606 W. Main St.
Highland, KS 66035
Fax: 785-442-6106
Email: admissions@highlandcc.edu

TB tests can take up to 3 days to complete. An initial appointment is made and then and follow-up appointment is made where the result is read (within 72 hours of initial appointment).

List of exempt - low incidence - TB Countries

Albania
American Samoa
Andorra
Antigua and Barbuda
Australia
Austria
Bahamas
Barbados
Belgium
British Virgin Islands
Canada
Chile
Costa Rica
Cuba
Cyprus
Czech Republic
Denmark
Dominica
Fuji
Finland
France
Germany
Greece
Grenada
Hungary
Iceland
Ireland
Italy
Jamaica
Luxembourg
Malta
Nauru
Netherlands
New Zealand
Norway
Saint Kitts and Nevis
St. Lucida
Samoa
Slovakia
Spain
Sweden
Switzerland
Turks and Caicos Islands
United Kingdom of Great Britain and North Ireland
United Virgin Islands
United States of America
Wallis & Futuna Islands