Insights / Physician specialty marketing

Tuberculosis testing outreach: the USPSTF B recommendation for adults at increased risk, CDC testing guidance, work and immigration exams, and plain reminders

Tuberculosis testing outreach: the USPSTF B grade for adults at increased risk, CDC guidance, work and immigration exams, coverage and plain reminders.

A test for tuberculosis infection is a blood draw or a small skin test, and it reaches patients for two different reasons: a clinician screens an adult at increased risk, or an employer, a school or an immigration process asks for a result. Marketing for the two gets mixed up. A page can sell a yearly test to health care workers that CDC no longer recommends, offer an immigration exam the practice is not designated to perform, promise that a negative result clears a person, or tell the public who is at risk in words that single out a country or a group. A reminder can tell a roommate or an employer more than a patient wanted to share. This guide covers how a primary care practice, an urgent care or occupational medicine clinic, a community health center, a mobile clinic, a travel medicine clinic or a pharmacy test program can invite patients to tuberculosis testing on the USPSTF recommendation and CDC guidance as written, keep screening apart from work and immigration exams, keep the recommendation apart from coverage, and write calm, accurate pages and messages.

Nine related topics have their own guides and are not repeated here. The clinics that test are covered in our guides to occupational medicine marketing, urgent care marketing, community health center marketing, mobile health clinic marketing, travel medicine clinic marketing and pharmacist test and treat marketing. Students and staff at school sites are covered in our guide to school-based health center marketing, Medicaid patients in our guide to marketing to Medicaid patients, and screening days in our guide to health fair and screening event marketing.

This is general information, not legal or medical advice. Sources cited were checked on October 30, 2026: the USPSTF recommendation Latent Tuberculosis Infection in Adults: Screening (May 2, 2023) and the USPSTF list of recommendations in progress, the CDC pages Testing for Tuberculosis (updated June 17, 2024), Signs and Symptoms of Tuberculosis (updated January 17, 2025), Tuberculosis Skin Test (updated January 31, 2025), Clinical Testing and Diagnosis for Tuberculosis (updated April 17, 2025), Clinical Testing Guidance for Tuberculosis: Health Care Personnel (reviewed December 15, 2023), Tuberculosis Case Reporting (updated December 10, 2024) and Tuberculosis Technical Instructions for Civil Surgeons (May 15, 2024), all read through archived copies, the USCIS page Form I-693 (last reviewed July 24, 2026), the MedlinePlus pages Tuberculosis (last updated August 26, 2024) and Coughing up blood (review date April 1, 2025), the Bright Futures periodicity schedule (updated February 2025), and 42 U.S.C. 300gg-13. Medical advertising rules are also set state by state. Check them with your counsel before a campaign runs.

What the federal sources say

The USPSTF rates screening for adults, CDC publishes the testing guidance for the public, for clinicians and for health care employers, and CDC and USCIS set the rules for the immigration medical exam. The points that shape tuberculosis testing outreach:

  • The USPSTF recommendation Latent Tuberculosis Infection in Adults: Screening (May 2, 2023) recommends screening for latent tuberculosis infection in populations at increased risk, a B grade. It applies to adults 18 or older without symptoms. It names, as populations at increased risk, persons who were born in, or are former residents of, countries with high tuberculosis prevalence, and persons who live in, or have lived in, high-risk congregate settings such as homeless shelters or correctional facilities. It also names persons with immunosuppression, contacts of persons with active tuberculosis, health care workers and workers in high-risk congregate settings among those who may be at increased risk. It replaces, and is consistent with, the 2016 recommendation.
  • The CDC page Testing for Tuberculosis (updated June 17, 2024, read through an archived copy) says there are two types of tests for tuberculosis infection, a blood test and a skin test, and that a person who has a skin test returns in two to three days to have the reaction read. It says a positive result means tuberculosis germs are in the body, and that the clinician will do other tests to find out whether the person has inactive tuberculosis or active disease. It says a person may need a test for symptoms, for time spent with someone who has active disease, for risk factors, or for employment, school, travel or immigration health screening requirements, and that tests are generally not needed for people at low risk of infection. It says people can get tested at the health department or at a health care provider’s office.
  • The same CDC page says the blood test is the preferred test for people who received the tuberculosis vaccine used in other countries, since the skin test can be affected by it, and that a person with a positive result can keep testing positive on future tests, even after treatment, so CDC advises asking for a written record of the positive result.
  • The CDC page Signs and Symptoms of Tuberculosis (updated January 17, 2025, read through an archived copy) says people with inactive tuberculosis have no symptoms and cannot spread it to others. It lists, for active disease in the lungs, a bad cough that lasts 3 weeks or longer, pain in the chest and coughing up blood or sputum, and, as other symptoms, weakness or fatigue, weight loss, no appetite, chills, fever and sweating at night. It tells a person with symptoms to contact a health care provider or the local health department.
  • The CDC page Clinical Testing Guidance for Tuberculosis: Health Care Personnel (reviewed December 15, 2023, read through an archived copy) says health care personnel should be screened upon hire, with a baseline individual risk assessment, a symptom evaluation and a test. It says annual testing of health care personnel is not recommended unless there is a known exposure or ongoing transmission at a facility, and that all health care personnel should receive annual tuberculosis education.
  • The CDC page Tuberculosis Case Reporting (updated December 10, 2024, read through an archived copy) says tuberculosis disease is a nationally notifiable disease and that reporting is mandated in all U.S. states, while reporting latent infection to CDC is optional and state and local reporting rules for latent infection vary.
  • The CDC Tuberculosis Technical Instructions for Civil Surgeons (May 15, 2024, read through an archived copy) say the Department of Homeland Security designates civil surgeons, who must perform the immigration medical exam according to those instructions and report confirmed or suspected tuberculosis disease to the health department. The USCIS page Form I-693, Report of Immigration Medical Examination and Vaccination Record (last reviewed July 24, 2026) says a civil surgeon provides the completed form in a sealed envelope.
  • For children, the Bright Futures periodicity schedule (updated February 2025) lists tuberculosis testing per the recommendations of the AAP Committee on Infectious Diseases, performed on recognition of high-risk factors. The USPSTF recommendation covers adults only.

We checked for changes before writing. On October 30, 2026, the USPSTF page still showed the May 2, 2023 recommendation as final, and the USPSTF list of recommendations in progress did not include tuberculosis. The CDC pages cited here were read through archived copies, since the CDC site did not answer our direct requests, and we could not confirm developments after that date. A practice page should quote the guidance in force on the day it is written and record that date in its review notes.

The Task Force itself has changed. In Kennedy v. Braidwood Management, decided June 27, 2025, the Supreme Court held that Task Force members are inferior officers whose appointment by the Secretary of HHS is consistent with the Appointments Clause. On September 17, 2026, HHS announced eight new members who join the eight already serving. A recommendation can be reviewed by the new panel, so check the USPSTF page again before a campaign runs.

Two points shape the marketing. First, screening and required tests are different services: the USPSTF recommends screening adults at increased risk, while a test for a job, a school or an immigration exam is set by the employer, the school, state rules or the federal exam rules. A page that mixes them overstates one or the other. Second, a result is the start of a clinical process, not a verdict: a positive test leads to more tests to tell inactive infection from active disease, and a negative test does not rule out disease in a person with symptoms, as CDC says.

Tuberculosis testing pages and claims that need rewriting

Google’s search suggestions, which we checked on October 30, 2026, offer “tb test near me”, “tb test results”, “tb test meaning”, “tb test positive” and “tb test cost” to a person who types “tb test”, and “tb test for work near me”, “tb test for working with kids” and “tb test for work cost” to a person who types “tb test for work”. For “tb test cost” they offer “tb test cost without insurance” and “tb test cost with insurance”, and for “tb blood test” they offer “tb blood test vs skin test”, “tb blood test results time” and “tb blood test positive”. Suggestions with code terms belong to the billing staff, not the patient page. The pattern is clear: people want a place and a time, a price, the difference between the two tests, how long results take, and what a positive result means.

A page that holds up says which tests the practice offers and why one might be chosen, says the skin test needs a return visit in two to three days, says how and when results are given, explains what happens after a positive result in plain words, keeps screening apart from work, school and immigration exams, states coverage and cash prices with their conditions, and offers the page in the languages the practice’s patients speak.

Phrases that need rewriting:

  • “Health care workers need a TB test every year.” CDC says annual testing of health care personnel is not recommended unless there is a known exposure or ongoing transmission. Say the practice performs baseline testing on hire, and testing after an exposure, following CDC guidance and the employer’s own policy.
  • “Negative test? You’re TB-free.” CDC says a person with symptoms, with HIV or with a recent exposure may need more tests after a negative result. Say what a negative result means and when the clinician may test further.
  • “Immigration TB tests and medicals done here.” Only a civil surgeon designated by the Department of Homeland Security can perform the immigration medical exam. Say this only if a clinician at the practice is designated, and point people to the USCIS civil surgeon finder otherwise.
  • “If you’re from [region], you have TB.” A claim that singles out a group, and a misreading of the USPSTF, which describes populations at increased risk of infection. Say the USPSTF recommends screening for adults at increased risk, list the risk factors it names in neutral words, and invite people to ask.
  • “Our TB test is free.” Coverage depends on the payer, the plan and the reason for the test. State the conditions, or say the practice checks coverage first.
  • “Same-day TB clearance letter.” A skin test cannot be read the same day, and a positive result needs more tests before anyone can say a person does not have active disease. Say how long each test takes and what the letter will and will not say.
  • “We cure TB fast.” A treatment promise with no source. Say the care team follows CDC guidance for treatment and works with the local health department.
  • “We’ve screened thousands of workers and caught hundreds of cases.” Numbers with no source. Remove them unless they come from the practice’s own documented and reviewed records, with their date and limits stated.

Under 15 U.S.C. 45, deceptive acts or practices in commerce are unlawful, and 15 U.S.C. 52 prohibits false advertisements likely to induce the purchase of drugs, devices, services or cosmetics. The FTC staff Health Products Compliance Guidance says claims about the health benefits or safety of health-related products require competent and reliable scientific evidence, and that an advertiser is responsible for the claims its ads convey, including implied ones. Quoting the federal sources as written, with each one named and dated, stays inside that standard; turning a federal statement into a promise to a patient or an employer does not.

Symptoms, urgent signs and 911 on every page and in every tool

A testing page is for people without symptoms, and should say so. A person with a cough that lasts 3 weeks or longer, chest pain, or coughing up blood or sputum should not book a routine screening slot; CDC tells them to contact a clinician or the local health department. Put a plain line on the page, on flyers and in reminders: if you have a cough that has lasted 3 weeks or longer, or you cough up blood, call the practice before you come in so the team can see you safely; if you cough up more than a few teaspoons of blood or have severe shortness of breath, call 911.

The 911 line follows the MedlinePlus page Coughing up blood (review date April 1, 2025), which says to get medical help right away when a person coughs up blood and the cough brings up more than a few teaspoons of blood, or comes with chest pain, dizziness, fever or severe shortness of breath. Keep the wording close to that source and let the clinician set the rest of the triage script.

The same wording belongs in voicemail, after-hours greetings, portal replies, text replies, chat and AI front desk tools. A tool should send any message about severe shortness of breath or coughing up blood to 911 or the on-call clinician at once and alert staff, route a person with a long cough to a clinician before booking, pass questions about a result to a clinician, and never tell a person whether a result means they have active disease or need treatment. Our guides to the AI chatbot on a practice website and answering service versus AI receptionist cover how tools hand off these messages.

Who to invite: screening, work and school tests, and immigration exams

Three groups arrive for different reasons, and each needs its own page or section.

Keep these points:

  • Adults at increased risk: invite on the USPSTF recommendation, naming the risk factors it lists in neutral words, such as having been born in or lived in a country with high tuberculosis prevalence, having lived or worked in a shelter or a correctional facility, a weakened immune system, or time spent with someone who has active disease. Invite in the patient’s language, through the practice’s own patients, without naming a country or a group in public ads.
  • Workers and students: say which work and school tests the practice performs, how the skin test return visit works, what paperwork the practice completes and how fast. Health care employers follow CDC’s guidance of baseline testing on hire and testing after an exposure; a page should not tell them annual tests are required. School and child care rules are set state by state and by the school, so tell people to bring the form they were given.
  • Immigration exams: only a designated civil surgeon can perform them. A practice with a designated clinician can say so and describe the exam; a practice without one should not advertise immigration testing and can point people to the USCIS civil surgeon locator.
  • Children: the Bright Futures schedule calls for testing on recognition of high-risk factors, following the AAP Committee on Infectious Diseases. Leave pediatric testing decisions to the clinician and the practice’s own protocol.
  • People at low risk: CDC says tests are generally not needed for people at low risk of infection. A page should not urge every adult to get tested.

Our guides to occupational medicine marketing, travel medicine clinic marketing and community health center marketing cover the wider rules for those pages.

After the test: reading, results, follow-up and the health department

The skin test brings the patient back. Book the reading visit at the same time as the test, send a reminder the day before, and say on the page what happens if the patient misses the window. The CDC page Tuberculosis Skin Test (updated January 31, 2025, read through an archived copy) says a person who cannot return after two or three days to have the test read will need to have a skin test again. The blood test needs one visit, and the page should say how the practice gives results and how long they take at the practice, without a promise the lab cannot keep.

A positive result leads to more tests, which CDC says may include a chest x-ray and a test of sputum, to tell inactive infection from active disease; the CDC page Clinical Testing and Diagnosis for Tuberculosis (updated April 17, 2025, read through an archived copy) says more tests, such as a chest radiograph, are needed to rule out disease. A page should describe this in plain words and in the practice’s own terms: who calls the patient with the result, how soon, what the next visit involves, and that the practice gives a written record of a positive result, as CDC advises. Active disease is reported to the health department, and the health department may contact the patient; do not promise what the health department will do or how fast. Do not name medicines or treatment courses on a marketing page; treatment choices belong to the clinician and the patient, and CDC publishes the treatment guidance clinicians follow.

A form for an employer or a school is a separate document. It should carry only what the patient agreed to share, and the practice should not send a result to an employer or school without the patient’s written authorization or another basis the privacy officer has confirmed.

Coverage: screening, required tests and free test days

Under 42 U.S.C. 300gg-13, group health plans and health insurers must cover, without cost sharing, services with a USPSTF A or B rating. Screening adults at increased risk has a B rating, so that coverage applies to the screening the recommendation describes. It does not follow that a test for a job, a school or an immigration exam is covered at no cost; who pays for those depends on the plan, the employer and the program. Medicare and Medicaid coverage follow their own rules, and Medicaid is set state by state. CDC’s testing page says public and private health plans may cover testing costs. Keep the recommendation and the coverage apart on the page, say the practice checks coverage before the visit, and do not write “free under the ACA”. Cash prices for a test or an exam follow our guides to advertising cash prices and good faith estimates for self-pay patients.

A free test day at a shelter, a community center or a workplace, or a gift for coming in, follows 16 CFR 251.1, which says a free offer must not be recouped through a raised price or a reduced quantity or quality elsewhere, and that the terms of the offer should be stated at the outset. Under 42 U.S.C. 1320a-7a(a)(5), civil penalties can apply to a person who offers or transfers remuneration to a Medicare or state health care program beneficiary that the person knows or should know is likely to influence the beneficiary to order or receive items or services from a particular provider, practitioner or supplier. A gift card for coming in needs counsel’s review before it runs. A skin test event also needs a plan for the reading visit two to three days later, and a written plan for who gives results, who orders follow-up tests and who reports to the health department. Our guides to health fair and screening event marketing and mobile health clinic marketing cover event rules.

Home kits, supplements and products sold alongside

People search for quick or home tuberculosis tests, and a practice may be offered kits, immune products or supplements to sell next to its testing program. A test result needs a clinician to read and act on it, and a positive result needs more tests. Our guide to direct-to-consumer lab testing marketing covers consumer test claims. The FDA Questions and Answers on Dietary Supplements (content current as of August 27, 2026) says FDA does not have the authority to approve dietary supplements before they are marketed. Name no product, make no claim that a supplement, a food or a device prevents or treats tuberculosis or boosts immunity against it, and follow our guide to selling supplements in a medical practice.

Recall texts, letters and reminders

Tuberculosis testing reaches patients through reminders: the skin test reading visit, a test due for a job start date, a follow-up visit after a positive result, and adults at increased risk who have never been tested. Under 45 CFR 164.501, a communication about the practice’s own treatment for an individual, such as a reminder to come in for a recommended service, can fall outside the definition of marketing, while a message that promotes a third party’s product or service generally needs a signed authorization under 45 CFR 164.508.

The words in the message matter as much as the rule. A text, a postcard or a voicemail can be seen by a relative, a roommate, a coworker or an employer. Keep these points:

  • Invite to the visit: “[Practice name]: you have a visit on [days] at [days and hours]. Call [phone] or reply to change it.” A reading visit reminder can say the visit is to read a skin test the patient chose to have; a follow-up reminder after a result should not name the test.
  • Never put a result, the word positive, or the name of the infection in a text, a postcard, a voicemail or an email subject line after a test.
  • Use the contact method and number the patient chose, and keep the caller ID and the sender name neutral.
  • For a minor, send messages to the person who may act for them; 45 CFR 164.502(g) defers to state and other law on when a parent acts as a minor’s personal representative.
  • Give every message an easy opt-out, and honor it.

Our guides to text message appointment reminders and the patient recall system cover consent, timing and opt-outs.

Families, employers, schools and who may hear what

Relatives book visits, employers call for results, and schools ask for forms. Under 45 CFR 164.510(b), a covered entity may share information relevant to a family member’s or friend’s involvement in a patient’s care when the patient agrees or does not object, or, when the patient is not present or cannot agree, when the professional judges it is in the patient’s best interest. The intake team should ask the patient what may be shared and with whom. An employer, a school or a landlord is not a family member involved in care, and a request from one goes to the practice’s privacy officer, not to the front desk. Reporting active disease to the health department follows the practice’s reporting duties, which are set state by state, and is not a marketing message.

Partners, sponsors and referral payments

Under 42 U.S.C. 1320a-7b(b), the federal anti-kickback statute, it is a crime to knowingly and willfully offer, pay, solicit or receive any remuneration to induce or reward referrals of items or services payable by a federal health care program. Rules on referral fees are also set state by state.

For a tuberculosis testing program, keep these points:

  • Do not pay a shelter, a school, a staffing agency, an immigration service or a community group per person tested or per person referred, and do not accept payment from a lab, an imaging center or a product maker for the patients the practice sends them, without counsel’s review.
  • Employer accounts follow the rules in our guide to occupational medicine marketing; keep the price for the employer separate from any service billed to a federal program.
  • Point patients to the health department and to public lists, such as the USCIS civil surgeon locator, and tell them they can choose; our guide to patient and physician referrals covers referral rules.

Privacy, pixels and ads

A booking for a follow-up visit after a positive result, a result page in the portal or a page about active disease can say something sensitive about a person’s health, and a page about immigration exams can say something about a person’s status. Keep form answers, bookings and page clicks out of tracking pixels and ad platform tools unless a written agreement covers them; our guide to tracking pixels on practice websites covers the setup. The Google Ads personalized advertising policy lists health among its sensitive interest categories and restricts targeting based on it. Ads can target by place, language settings and search terms such as “tb test for work near me”, and should not be built from a list of patients with a positive result, people in a health department follow-up or Medicaid enrollees taken from the practice’s records. Ad copy should not address the reader as a person who has tuberculosis, and should not target a group by country of birth or immigration status.

Tone, access and patient stories

Tuberculosis carries stigma, and people who were born abroad, who have lived in a shelter or who have been in a correctional facility may already feel singled out. Present testing as routine care for adults at increased risk and as a service for work and school, use calm words, and keep out alarm and blame: no images of coughing crowds, no “are you spreading TB?”, no wording that ties the infection to a country or a group. Write in plain words, offer the page in the languages the practice’s patients speak, and link the translated versions of federal pages where they exist. The Department of Justice Guidance on Web Accessibility and the ADA describes website features such as text alternatives, enough color contrast and the ability to resize text that help people with disabilities use a site; our guide to Spanish language medical marketing covers translation.

A patient’s story about getting tested can help others. Under 16 CFR 255.2, an ad that shows one person’s result on a key attribute is likely to be read as what others will generally achieve, unless the advertiser has substantiation for that or clearly and conspicuously discloses what people can generally expect. Use a story only if the patient chose to share it in writing, get a signed authorization under 45 CFR 164.508 where the practice is a covered entity, leave out the result, the employer, the country of birth and the immigration status, say if the patient received anything for taking part, let them review the final version, and let them withdraw it later. Our guides to patient photo consent and testimonials and before and after photos cover the full rules.

Illustration: two tuberculosis testing messages

Illustration: a flyer reads “Immigrants and health workers: get your yearly TB test here! Same-day clearance letters, immigration medicals done, and a negative test means you’re TB-free. Free with insurance. We cure TB fast. Thousands of local workers trust us.” It singles out a group, tells health care workers they need a yearly test that CDC does not recommend, offers an immigration exam with no civil surgeon designation stated, promises a same-day letter a skin test cannot support, treats a negative result as a clearance, makes a free claim with no conditions and a treatment promise, and uses numbers with no source.

Illustration: a second flyer for the same practice reads “[Practice name] offers tuberculosis testing for work, school and adults at increased risk. The USPSTF recommends screening adults at increased risk of infection; ask us whether that includes you. We offer a blood test, with one visit, and a skin test, read on a second visit two to three days later. If a test is positive, we explain what comes next and give you a written record. We check your coverage first; work and school tests may be billed differently. Immigration medical exams are done only by designated civil surgeons; we can help you find one. If you have had a cough for 3 weeks or longer, call us at [phone] before you come in. If you cough up more than a few teaspoons of blood or have severe shortness of breath, call 911. [days and hours].” It quotes the sources, says what each test involves, keeps screening and required tests apart, states the coverage conditions and gives the urgent lines.

Checklist before a tuberculosis testing campaign goes live

  • Copy built on the USPSTF 2023 recommendation and the CDC testing, symptoms and health care personnel pages, each named and dated; the sources checked again on the day the page is written, with the date recorded.
  • Screening for adults at increased risk kept apart from work, school and immigration tests; no claim that health care workers need a yearly test; immigration exams offered only with a designated civil surgeon.
  • Risk factors described in neutral words, with no country or group named in public ads; no claim that every adult needs a test.
  • No “TB-free” or same-day clearance promise from a result, no treatment claims and no medicine names; a positive result described as the start of further tests, with a written record offered.
  • The urgent lines on pages, flyers, voicemail, after-hours greetings, portal replies, text replies, chat and AI front desk tools: call the practice first for a long cough, 911 for severe shortness of breath or more than a few teaspoons of blood.
  • Coverage described as 42 U.S.C. 300gg-13 states it for screening, with plan coverage checked per patient and required tests priced separately; free test days and gifts reviewed under 16 CFR 251.1 and 42 U.S.C. 1320a-7a(a)(5).
  • Skin test reading visits booked with the test; reminders, postcards, caller ID names, voicemails and subject lines carry no result and no infection name after a test.
  • Employer, school and landlord requests sent to the privacy officer; results shared with an employer or school only with the patient’s written authorization or another confirmed basis; health department reporting handled under the practice’s reporting duties.
  • No home kit, immune product or supplement claims and no brand names; no payments to or from labs, shelters, agencies or community partners without counsel’s review; patient stories with signed authorizations and no result, employer, country of birth or status.
  • Patient lists and results stay out of ad audiences and tracking tools; the page offered in the languages the practice’s patients speak and checked against the ADA web guidance.

How we help

We build websites, local search, Google Ads and AI front desk tools for independent practices and health businesses, including primary care practices, urgent care and occupational medicine clinics, community health centers and mobile clinics. For a tuberculosis testing program, that means a site that builds its pages on the USPSTF recommendation and CDC guidance as written and dated, keeps screening apart from work, school and immigration tests and all of them apart from coverage, and answers “tb test near me” and “tb test for work near me” searches calmly and honestly, plus appointment request pages that book the skin test and its reading visit together and keep results off the web and away from tracking tools. Our front desk tools send any message about severe shortness of breath or coughing up blood to 911 or the on-call clinician and alert staff, route a long cough to a clinician before booking, hand result questions to a clinician, and do not tell anyone what a result means for them. We do not decide who should be tested or treated; your clinicians and patients do. Our tools are built with HIPAA in mind. We confirm in writing what a BAA covers before any patient information flows through a tool, and if it is not covered, we do not route patient information through it. We are not a healthcare provider and we do not give legal or medical advice. We do not sell lead lists and we do not pay for referrals. For the wider rules, see our healthcare marketing rules hub.

Who does the USPSTF recommend screening for tuberculosis infection?

The USPSTF recommendation of May 2, 2023 gives a B grade to screening adults 18 or older without symptoms who are at increased risk, such as people born in or formerly living in countries with high tuberculosis prevalence and people who live or have lived in high-risk congregate settings such as shelters or correctional facilities. Name the risk factors in neutral words and invite people to ask.

Do health care workers need a test every year?

Not under CDC guidance. CDC says health care personnel should be screened upon hire, and that annual testing is not recommended unless there is a known exposure or ongoing transmission at a facility. An employer may set its own policy, so say the practice follows the employer’s order and CDC guidance.

Can we advertise immigration medical exams?

Only if a clinician at the practice is a civil surgeon designated by the Department of Homeland Security. The CDC technical instructions and the USCIS Form I-693 page set out how the exam and the form work. A practice without a designated clinician can point people to the USCIS civil surgeon locator.

How should our page explain the two tests?

CDC describes a blood test and a skin test. Say the skin test needs a second visit two to three days later to read it, that the blood test is the preferred test for people who received the tuberculosis vaccine used in other countries, and that the clinician chooses the test with the patient.

Is tuberculosis screening free?

Under 42 U.S.C. 300gg-13, plans must cover USPSTF A and B services without cost sharing, and screening adults at increased risk has a B rating. Tests for a job, a school or an immigration exam are a different matter. Say the practice checks coverage before the visit, and state the conditions of any free test day.

Can our reminder text mention the test?

A reminder for a skin test reading visit the patient chose can say what the visit is for. After a test, never put a result, the word positive or the name of the infection in a text, postcard, voicemail or subject line, and use the contact method the patient chose.

Sources

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