Tuberculosis
Info for Healthcare Providers
Alerts & Hot Topics
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Manuals and Guides
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Forms
- DHHS:
- Confidential Communicable Disease Report Form - DHHS 2124 (PDF) - Physicians and healthcare providers may use this form to notify the local health department of reportable communicable disease cases.
- TB Register Card (DHHS 2245) (PDF, 193KB)
- TB Drug Record (DHHS 1391) (PDF, 91KB / Revised June 2017)
- TB Epidemiological Record (DHHS 1030) (PDF, 109KB / Revised June 2017)
- TB Flow Sheet (DHHS 2810) (PDF, 94KB / Revised June 2017)
- Nursing Record of TB Contacts (DHHS 1662) (PDF, 67KB / Revised June 2017)
- Record of TB Screening (DHHS 3405) (PDF, 124KB / Revised June 2017)
- SLPH Mycobacteriology Lab Requisition (DHHS 1247) - Specimens for isolation and identification of all Mycobacterium species (including Mycobacterium tuberculosis complex and other nontuberculous mycobacteria) are accepted from public and private health care providers.
- Order Form for TB Control Materials (DHHS 2407) (PDF, 172KB / Revised June 2017)
- TB Biologicals Requisition and Inventory (DHHS 3093) (PDF, 114KB / Revised June 2017)
- Report of Positive Smear (AFB) and/or Positive Culture of TB (DHHS 3005) (PDF, 88KB / Revised June 2017)
- Individual Contact Form (DHHS 4097) (PDF, 57KB / Revised June 2017)
- Other:
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Tools & Websites
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