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Get the free TB Contact Investigation Form (502) - Virginia Department of Health - vdh virginia

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VIRGINIA DEPARTMENT OF HEALTH DIVISION OF TUBERCULOSIS (TB) CONTROL TB CONTACT INVESTIGATION FORM (TB 502) Infectious Period Web vision/ID # Case Mgr. PH. # Box 1 Date Began: Report Source Date Reported
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The tb contact investigation form is a document used to gather information about individuals who have been in close contact with someone who has been diagnosed with tuberculosis (TB).
Healthcare providers and public health officials are typically responsible for filing the tb contact investigation form.
To fill out the tb contact investigation form, you need to provide detailed information about the contacts, such as their names, contact information, their relationship with the TB patient, dates and locations of exposure, and any symptoms they may be experiencing.
The purpose of the tb contact investigation form is to identify individuals who may have been exposed to TB, assess their risk of infection, and provide appropriate interventions to prevent transmission and ensure timely diagnosis and treatment if necessary.
The tb contact investigation form typically requires information such as the names of contacts, their contact information, dates and locations of exposure, the relationship of contacts with the TB patient, symptoms experienced by contacts, and any test results related to TB infection or disease.
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