<Your logo or letterhead>

date

Dear Student and Parent:

The agency> informed the school district that a student who attends <name of school> has recently been diagnosed with Tuberculosis. Tuberculosis (TB) is a serious bacterial infection that usually infects the lungs. It can occur in other parts of your body also. It is spread to other people through the air when a person with TB of the lungs coughs, sneezes, shouts, talks, or sings. It can be effectively treated with antibiotics.

The risk of others getting TB from the case at <school name> is dependent upon them sharing the same air space over an extended time span. Consequently, the agency> is working closely with the <name of health department or state agency> and the school to test those individuals who are at risk of exposure to the case.

<Agencies> officials have determined that your child is at risk of exposure. Individuals with an exposure risk need to be tested for TB infection. There are two testing methods for this. One is a TB skin test and the other is a TB blood test. The agency> has determined that the <test to be used> test is the best method to use in this situation. Your child will get one needle stick in the vein to draw blood into the testing tubes [for QFT or Tspot]. This will be done by the agency> at <school or location> on <date>, during the school day. To complete the testing process, those individuals whose test results are negative will need to be retested in <date range of second screening>. You will receive more information regarding the second test date at a later time. Those who have a positive test will be provided with appropriate medical follow-up.

A <CDC or other agency> information sheet on Tuberculosis is enclosed. Also enclosed are a medical questionnaire and a registration and consent form. Please complete all the forms and return them to school on <day, date>. We understand that you are concerned about your child and school officials are working closely with State and agency> officials to promptly address all concerns and to accommodate their review process.

An informational forum will be held for parents and guardians of <school name> students on <day, date> beginning at <time>. TB experts from the <agencies> will be on hand to present facts and answer questions.

If you have additional questions regarding Tuberculosis exposure, please contact the <your agency> Tuberculosis Division at <your phone number>.

Sincerely,

Superintendent of Schools (?)

Principal (?)

Checklist – Complete and return on <day, date>

Medical Questionnaire

Registration and Consent Form