Livescan and TB test form

Name*

First Name

Last Name

Bronco ID

Email*

Have you done your TB test yet?

~~~~ATTENTION~~~~

Thank you for scheduling an appointment with the health center. When you receive your results, please send them to our email io@cpp.edu so that we can update our list of people who have fully completed the application to use the Innovation Orchard Space. Feel free to come to the space!

~~~~ATTENTION~~~~

Please go schedule an appointment to get a Tuberculosis Screening as soon as possible. You can do this at your local health provider or on campus at the Health Center. Be aware that often times the Health Center may be backed up a few weeks for TB test appointments. You can get more information about the TB screening offered by Cal Poly Pomona here. Once you receive your results, please send your results to our email io@cpp.edu

TB Test results*

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Please submit your TB test results from the health center here

Livescan confirmation form*

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Please submit your livescan confirmation form here