Get the free TB-208. Texas Department of State Health Services Tuberculosis Contact Screening For...
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Texas Department of State Health Services Tuberculosis Contact Screening Form You have been identified as someone who recently spent time in an enclosed area with a person suspected of having tuberculosis
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How to fill out tb-208 texas department of
How to fill out tb-208 Texas Department of:
01
Obtain the tb-208 form from the Texas Department of Health and Human Services website or visit a local health department office to request a copy.
02
Carefully read and understand the instructions provided with the tb-208 form. This will help you correctly fill out the required information.
03
Provide the date of completion and your personal information, including your full name, date of birth, address, and phone number.
04
If applicable, enter your employment information, such as the name and address of your employer, occupation, and work/school phone number.
05
Answer the questions related to tuberculosis (TB) history and testing. This may include details about any past diagnoses, treatments, or current symptoms.
06
If you have had a positive TB test result, provide the name and contact information of the healthcare provider who made the diagnosis.
07
Indicate whether you have ever been treated for latent TB infection or active TB disease, and if so, provide the treatment dates and the names/contact information of the healthcare providers who administered the treatment.
08
If you have ever been incarcerated, provide details about the institution, dates of incarceration, and any TB-related tests or treatments received while in custody.
09
Review the completed tb-208 form for accuracy, ensuring that all required fields are filled out correctly.
10
Sign and date the form before submitting it to the appropriate healthcare or public health agency.
Who needs tb-208 Texas Department of:
01
Individuals who have been diagnosed with tuberculosis (TB) or have a history of TB.
02
People who have been in close contact with individuals diagnosed with active TB disease.
03
Healthcare providers and public health agencies who need to document and track TB cases within the state of Texas.
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What is tb-208 texas department of?
The TB-208 is a report filed with the Texas Department of Health Services.
Who is required to file tb-208 texas department of?
All healthcare facilities are required to file the TB-208 form.
How to fill out tb-208 texas department of?
The TB-208 form can be filled out online on the Texas Department of Health Services website.
What is the purpose of tb-208 texas department of?
The purpose of the TB-208 form is to report tuberculosis cases in healthcare facilities.
What information must be reported on tb-208 texas department of?
The TB-208 form requires reporting of patient demographics, test results, and treatment information.
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