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Appendix 2ADDRESSOGRAPH /INH TREATMENT (TX) FORM TX Start Date (MMM×dd/YYY): ___ TX End Date (MMM×dd/YYY): ___ Dose in mg: ___Number of doses taken: ___Completed TX*: Yes No Please fill in Reason
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Latent TB infection treatment typically involves taking one or more medications for several months to prevent the infection from developing into active TB disease.
Healthcare providers are required to file latent TB infection treatment for their patients who test positive for TB infection.
Healthcare providers can fill out latent TB infection treatment by documenting the prescribed medications and monitoring the patient's progress.
The purpose of latent TB infection treatment is to prevent the infection from progressing into active TB disease.
Information such as patient demographics, medication regimen, and follow-up plans must be reported on latent TB infection treatment forms.
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