Get the free Tuberculosis Contact Investigation Form Instructions. Tuberculosis - doh wa

DOH 343-094 March 2011 Tuberculosis Contact Investigation Form Instructions Background: On December 16, 2005, the National Tuberculosis Controllers Association and CDC published in Morbidity and Mortality

How to fill out tuberculosis contact investigation form

1. To fill out a tuberculosis contact investigation form, start by carefully reading the instructions provided. These instructions will typically outline the purpose of the form and the specific information required.
2. The form will typically ask for basic demographic information about the individual being investigated, such as name, date of birth, and contact details.
3. Next, provide detailed information about the person who was diagnosed with tuberculosis (TB) and initiated the contact investigation. This may include their name, date of diagnosis, and their relationship to the individual being investigated.
4. The form may also ask about the nature of the contact between the diagnosed individual and the person being investigated. This can include information about the duration, frequency, and intensity of the contact, as well as any shared living or working environments.
5. It is important to accurately and comprehensively list any signs or symptoms of TB that the person being investigated may have experienced. This can include coughing, weight loss, night sweats, and fever.
6. In some cases, the form may ask for information about the individual's medical history, including previous TB tests, vaccinations, and any other relevant medical conditions.
7. Finally, the form may request information about any additional contacts who may also require investigation. This can include household members, coworkers, or other individuals who have been in close contact with the diagnosed individual.

Who needs a tuberculosis contact investigation form?

1. Healthcare professionals and public health authorities typically require individuals who have had close contact with someone diagnosed with TB to fill out a tuberculosis contact investigation form.
2. This form helps them identify individuals who may have been exposed to TB and facilitates the necessary steps for testing, treatment, and surveillance.
3. Individuals who have been in close contact with a diagnosed TB patient, such as family members, friends, and coworkers, should ensure they complete the necessary forms as directed by their healthcare provider or public health authority.

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What is tuberculosis contact investigation form?

The tuberculosis contact investigation form is a document used to collect information about individuals who have been in contact with a person diagnosed with tuberculosis. It is used to track and manage potential tuberculosis infections.

Who is required to file tuberculosis contact investigation form?

Healthcare providers, including doctors, nurses, and other medical professionals, are typically required to file the tuberculosis contact investigation form.

How to fill out tuberculosis contact investigation form?

To fill out the tuberculosis contact investigation form, you will need to provide information about the person diagnosed with tuberculosis, as well as details about their close contacts. This may include their names, contact information, dates of contact, and any symptoms they may be experiencing.

What is the purpose of tuberculosis contact investigation form?

The purpose of the tuberculosis contact investigation form is to identify and monitor individuals who may have been exposed to tuberculosis. This allows healthcare providers to provide appropriate testing, treatment, and support to prevent the spread of the disease.

What information must be reported on tuberculosis contact investigation form?

The tuberculosis contact investigation form typically requires information such as the name, contact information, and relationship of the person diagnosed with tuberculosis, as well as details about their close contacts, including their names, contact information, dates of contact, and any symptoms they may be experiencing.