Get the free LATENT TB CASE REFERRAL

ACTIVE TB CASE/PRESUMPTIVE TB CASE/ LATENT TB CASE REFERRAL BALTIMORE CITY HEALTH DEPARTMENT Health Promotion & Disease Prevention Tuberculosis Control Program 1200 East Fayette Street Baltimore,

How to fill out latent tb case referral

How to fill out latent tb case referral

1. Obtain a latent TB case referral form from the appropriate health authority.
2. Fill out the patient information section accurately, including their name, date of birth, and contact information.
3. Provide details about the patient's medical history, including any previous TB diagnosis or treatment.
4. Describe the symptoms, if any, that the patient is experiencing.
5. Indicate the results of any TB tests conducted and include the dates of the tests.
6. Include information about any known contacts with active TB cases.
7. Sign and date the referral form and ensure it is submitted to the designated authority for further processing.

Who needs latent tb case referral?

1. Individuals who have been identified as having latent tuberculosis (TB) infection may require a latent TB case referral.
2. This referral is typically needed when a healthcare provider determines that further evaluation or treatment is necessary for an individual with latent TB infection.
3. Specific individuals who may need a latent TB case referral include:
4. - Patients with risk factors for developing active TB disease
5. - Individuals with immunocompromising conditions, such as HIV infection
6. - Close contacts of people with infectious TB
7. - Healthcare workers who may have been exposed to TB
8. - Individuals in congregate settings, such as correctional facilities or homeless shelters
9. - People who will be starting immunosuppressive therapy
10. It is important to consult with healthcare professionals or the appropriate health authority to determine if a latent TB case referral is necessary for a particular individual.

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What is latent tb case referral?

Latent TB case referral is a process of referring individuals who have been identified as having latent tuberculosis infection to appropriate healthcare providers for treatment.

Who is required to file latent tb case referral?

Healthcare providers and facilities are required to file latent TB case referrals.

How to fill out latent tb case referral?

To fill out a latent TB case referral, healthcare providers need to provide information about the individual's latent TB status and refer them to the appropriate treatment facility.

What is the purpose of latent tb case referral?

The purpose of latent TB case referral is to ensure that individuals with latent TB infection receive proper treatment and monitoring to prevent the development of active tuberculosis.

What information must be reported on latent tb case referral?

Information such as the individual's name, contact information, latent TB test results, and treatment plan must be reported on a latent TB case referral.