Tuberculosis Control
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Tuberculosis Control Forms
These files are in PDF format, you will need a PDF reader to view them. Click here to downlaod Acrobat PDF Reader, if you do not have it. Quarantine/Isolation Monthly Reports Tuberculin Skin Testing LTBI ATBD X-Rays Contacts Case Management Forms Miscellaneous Quarantine/Isolation (all of the documents in the section are in Microsoft Word) Court-Ordered Treatment and Involuntary-Isolation Guidelines for the Control of Tuberculosis This document contains links to forms needed for the following categories: Initial Orders and Affidavits Stipulated Orders In Case of Evidentiary Hearing Request and Order to Extend Isolation and Treatment Time Treatment Complete and Release of Individual Reference Materials Monthly Reports Instructions for Monthly TB Activity Report Monthly TB Activity Report Monthly TB Activity Report (electronic version) Monthly Pharmacy Inventory Tuberculin Skin Testing Tuberculin Skin-Testing Worksheet Monthly TB Skin Test Report Monthly TB Skin Test Report (electronic version) LTBI INH Questionnaire Refusal Form ATBD Daily Observed Therapy Tracking Sheets 2008: JAN-APRIL MAY-AUGUST SEPTEMBER-DECEMBER Report of Verified Case of TB Monthly TB Drug Monitoring for Toxicities Post Treatment Evaluation INH Questionnaire TB Treatment Steps Consent Form (English) for Preventive and First-Line Treatment of TB Formulario de Consentimiento Para la Prevencion y Tratamiento de la TB X-Rays Request for X-Ray Interpretation Instructions for Requesting XRay Primary Children's XRay Request Contacts Contact Investigation Report Contact Investication Report Instructions Case Management Forms Authorization to Release Medical Records Interjurisdictional TB Notification Interjurisdictional Follow-up Form TB Client Progress Notes Miscellaneous TB Suspect and Case Log TB Card Referral and Report TB Screening for Past Reactive Testing TB Employee Screening Managing Persons At Risk For Flight Request Admission STBUQuantiferon Test Request Form Quantiferon Test Fact Sheet back to top
These files are in PDF format, you will need a PDF reader to view them. Click here to downlaod Acrobat PDF Reader, if you do not have it.
Quarantine/Isolation Monthly Reports Tuberculin Skin Testing LTBI ATBD X-Rays Contacts Case Management Forms Miscellaneous
Quarantine/Isolation (all of the documents in the section are in Microsoft Word) Court-Ordered Treatment and Involuntary-Isolation Guidelines for the Control of Tuberculosis This document contains links to forms needed for the following categories: Initial Orders and Affidavits Stipulated Orders In Case of Evidentiary Hearing Request and Order to Extend Isolation and Treatment Time Treatment Complete and Release of Individual Reference Materials Monthly Reports
This document contains links to forms needed for the following categories: Initial Orders and Affidavits Stipulated Orders In Case of Evidentiary Hearing Request and Order to Extend Isolation and Treatment Time Treatment Complete and Release of Individual Reference Materials
Monthly Reports
Miscellaneous
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