Occupational Medicine

Tuberculosis Assessment / PPD

The Tuberculosis (TB) Assessment Form is a tool to assess and document a patient's TB symptoms and/or risk factors. Completing this form will also help in determining the need for further medical testing and evaluation.

How to get started:

1. Choose the Location nearest to you

  • Elm Avenue Clinic: Call to schedule an appointment today 540-985-8521.
  • VelocityCare Locations: No appointment necessary.

2. Complete the TB Assessment From

What to bring to your appointment:

  • Completed TB Assessment Form.
  • Available documentation of past TB Assessments or TB skin testing results.

Components of your visit will include:

  • Review of completed TB Assessment Form
  • PPD skin test if indicated
  • Return to our office within 48-72 hours for PPD test reading


TB Assessment Form (PDF)