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Chelan-Douglas Health District, 200 Valley Mall Parkway, East Wenatchee, WA 98802 (509) 886-6400 TUBERCULOSIS: INTAKE and EVALUATION DEMOGRAPHICS Last name, first name, MI: Male Female Address: Phone:
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What is 12h tb intake amp?
12h tb intake amp refers to the form used to report the intake of tuberculosis patients over a 12-hour period.
Who is required to file 12h tb intake amp?
Medical professionals or facilities responsible for collecting data on tuberculosis patients are required to file the 12h tb intake amp form.
How to fill out 12h tb intake amp?
To fill out the 12h tb intake amp form, the required information about tuberculosis patients' intake over a 12-hour period must be accurately entered into the designated fields.
What is the purpose of 12h tb intake amp?
The purpose of the 12h tb intake amp form is to collect and track data on the intake of tuberculosis patients to aid in disease surveillance and control efforts.
What information must be reported on 12h tb intake amp?
On the 12h tb intake amp form, information such as the patient's name, age, demographics, symptoms, test results, and intake details are typically reported.
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