Get the free Tuberculosis Referral

This document is used for referring patients for Tuberculosis follow-up recommendations, collecting pertinent health information for monitoring and promoting public health in Alberta.

How to fill out tuberculosis referral

How to fill out Tuberculosis Referral

1. Obtain the Tuberculosis Referral form from the healthcare provider.
2. Fill in the patient's personal information, including name, age, and contact details.
3. Provide the patient's medical history related to tuberculosis or any previous diagnoses.
4. Include any relevant symptoms the patient is experiencing, such as coughing or weight loss.
5. Ensure all required tests are documented, such as chest X-rays or skin tests.
6. Sign the form and date it to confirm accuracy and validity.
7. Submit the completed form to the appropriate health department or specialist clinic.

Who needs Tuberculosis Referral?

1. Individuals who have symptoms of tuberculosis, such as persistent cough, fever, or weight loss.
2. People who have had close contact with someone diagnosed with tuberculosis.
3. Patients who have tested positive on a tuberculosis skin or blood test.
4. Individuals living in areas with high rates of tuberculosis.

People Also Ask about

How does tuberculosis be treated?

Most latent TB infections are treated for three or four months. Active TB disease may be treated for four, six or nine months. Specialists in TB treatment will determine which medicines are best for you. You will have regular appointments to see if you're improving and to watch for side effects.

Who do I notify if I have TB?

It's important to talk to your health care provider or contact your health department if you think you have been exposed to someone with active TB disease, especially if you have symptoms. TB disease can be treated.

How to get diagnosed with tuberculosis?

A health care provider may diagnose you with inactive TB or active TB disease based on your: Medical history. Physical examination. Test for TB infection (TB blood test or TB skin test) Chest x-ray. Laboratory tests to see if TB germs are present (sputum smear and culture) Laboratory tests for drug resistance.

What specialist for tuberculosis?

Internist. Infectious Disease Specialist.

What is the protocol for treating tuberculosis?

Question: In adolescents and adults with drug-susceptible pulmonary tuberculosis (TB), is a 4-month regimen composed of 2 months of , rifapentine, pyrazinamide, and moxifloxacin followed by 2 months of , rifapentine, and moxifloxacin (2HPZM/2HPM) as efficacious and safe as the standard 6-month drug-

What does a TB specialist do?

Medical evaluation for TB disease A health care provider may diagnose you with inactive TB or active TB disease based on your: Medical history.

Which type of doctor is best for tuberculosis?

Internist. Infectious Disease Specialist.

For pdfFiller’s FAQs

What is Tuberculosis Referral?

Tuberculosis Referral is a process where a healthcare provider refers a patient suspected of having tuberculosis (TB) to a specialist or a public health facility for further evaluation, diagnosis, and treatment.

Who is required to file Tuberculosis Referral?

Healthcare providers, including physicians, nurse practitioners, and public health officials, are required to file a Tuberculosis Referral when they identify a patient showing signs or symptoms of tuberculosis.

How to fill out Tuberculosis Referral?

To fill out a Tuberculosis Referral, one must complete the referral form by providing patient information including name, contact details, and medical history, and detailing the reasons for the referral along with any relevant clinical findings.

What is the purpose of Tuberculosis Referral?

The purpose of Tuberculosis Referral is to ensure that patients with suspected TB receive timely and appropriate diagnostic testing, treatment, and follow-up care to prevent disease transmission and improve health outcomes.

What information must be reported on Tuberculosis Referral?

The information that must be reported on Tuberculosis Referral includes patient identification details, clinical symptoms, recent exposure history, results of initial tests, and the referring provider's contact information.