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MED2.3 Who is exempt from needing a TB certificate? wrote:Children are not automatically exempt from the requirement to present a TB certificate showing that they are free from active pulmonary TB. Children under 11 years old need to attend a clinic, where their parent(s)/guardians will need to complete a medical questionnaire. The clinician will decide whether a chest x-ray screening is required and whether an individual certificate will need to be presented.