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Registration Form Tuberculosis Surveillance & Testing Certification Form for initial and recertification process PLEASE TYPE OR WRITE LEGIBLY NAME: DATE OF BIRTH: TELEPHONE: FAX: MAILING ADDRESS:

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What is registration form tuberculosis surveillance?

The registration form tuberculosis surveillance is a document that collects information about individuals diagnosed with tuberculosis. It is used to monitor and track cases of tuberculosis for public health purposes.

Who is required to file registration form tuberculosis surveillance?

Healthcare professionals and facilities responsible for the diagnosis and treatment of tuberculosis cases are required to file the registration form tuberculosis surveillance.

How to fill out registration form tuberculosis surveillance?

The registration form tuberculosis surveillance typically requires information such as patient demographics, medical history, diagnostic tests, treatment plans, and follow-up information. Healthcare professionals can fill out the form electronically or manually using the provided fields.

What is the purpose of registration form tuberculosis surveillance?

The purpose of the registration form tuberculosis surveillance is to gather data on tuberculosis cases in order to monitor the incidence, prevalence, and outcomes of the disease. This information is used for public health planning, resource allocation, and evaluation of tuberculosis control programs.

What information must be reported on registration form tuberculosis surveillance?

The registration form tuberculosis surveillance typically requires information such as patient demographics, medical history, diagnostic tests, treatment plans, and follow-up information. This includes details on the location of the case, drug susceptibility testing results, and any contact information for the patient.

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