DPH: Tuberculosis Forms

Tuberculosis Forms

 

Reporting of Suspect or Confirmed Tuberculosis (TB) Disease, Latent TB Infection (LTBI) or TB/HIV Co-infection

Tuberculosis Surveillance Report Form for initial TB Disease and LTBI Reporting
For all subsequent reporting on TB disease/suspect cases and LTBI, use the Tuberculosis Treatment and Follow-up Care Report Form

Laboratory Testing


Tuberculosis Patient Discharge Plan:
This form should be completed by the hospital or outpatient health care provider for the continuation of care of those patients with TB disease.  This form must be sent to the local health department where the patient resides for approval.
 
         TB Patient Discharge Plan
 

Contact Investigation Forms

Active Cases:
Source Case Investigation Forms - Latent Infection in Children under 6 yrs of age:




Content Last Modified on 1/17/2017 8:45:24 AM