The Alabama Department of Public Health and the Alabama Tuberculosis Medical Advisory Council recommend that colleges and universities ensure that new students (freshmen and transfers) are evaluated for tuberculosis prior to attending classes. Screening begins with an evaluation using the Tuberculosis Risk Questionnaire. All new students will be sent the questionnaire and must complete the form and return it to the Office of Student Health Services. Students with TB risk factors identified on the TB Risk Questionnaire will undergo TB screening interviews to evaluate for signs and symptoms of active disease. Relevant symptoms include, but are not limited to, a persistent cough (3 weeks or more in duration), bloody sputum, fever, night sweats, and weight loss or loss of appetite. Each student who is determined to be part of an at-risk population for developing TB must present the results of a TB skin test (Mantoux PPD) within two months of matriculation. Note: If you have already taken the TB skin test and submitted the results, it is not necessary to fill out the questionnaire.