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Tuberculosis Infection and Disease Report Form Johnson County Department of Health and Environment Tuberculosis Control Program 6000 Lamar Ave, Suite 140, Mission, KS 66202 Phone: 9138261224 Fax:
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How to fill out tuberculosis infection and disease

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Fill out the tuberculosis infection and disease form by following these steps:
02
Start by entering your personal information, such as your name, date of birth, and contact details.
03
Provide any relevant medical history, including past tuberculosis infections or treatments.
04
Answer all the questions about your current symptoms, such as coughing, fever, weight loss, and night sweats.
05
Include information about any recent exposure to tuberculosis, such as close contact with an infected individual.
06
If you have undergone any diagnostic tests for tuberculosis, specify the details and include the results.
07
Describe any other relevant medical conditions or medications you are currently taking.
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Review the completed form for accuracy and make any necessary corrections before submitting it.

Who needs tuberculosis infection and disease?

01
Tuberculosis infection and disease forms are typically required for individuals who have been exposed to tuberculosis or are suspected to have the infection/disease.
02
This may include patients who are exhibiting symptoms such as persistent cough, fever, weight loss, and night sweats.
03
Healthcare professionals, including doctors and nurses, may also need to fill out these forms for their patients who are being evaluated for tuberculosis.
04
Additionally, individuals who have a history of tuberculosis or have undergone treatment for the disease may need to provide this information for monitoring and tracking purposes.
05
Ultimately, anyone who needs to assess or document the presence of tuberculosis infection or disease may be required to fill out these forms.
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Tuberculosis (TB) infection refers to the presence of the TB bacteria in the body without causing symptoms, while tuberculosis disease occurs when the bacteria multiply and cause symptomatic illness, affecting the lungs or other parts of the body.
Healthcare providers, laboratories, and any facilities that diagnose or treat individuals with tuberculosis infection or disease are typically required to file reports regarding cases of TB.
Tuberculosis infection and disease reporting forms usually require information such as patient demographics, symptoms, diagnosis, treatment, and any relevant laboratory results. Healthcare providers should follow state or local health department guidelines for proper completion.
The purpose of reporting tuberculosis infection and disease is to monitor public health, initiate contact tracing, implement control measures, and ensure timely treatment and prevention efforts to reduce the spread of TB.
Reports must typically include patient name, age, gender, address, TB test results, date of diagnosis, treatment status, and any relevant medical history or risk factors.
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