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Nebraska Department of Health and Human ServicesLatent Tuberculosis Pharmacy Enrollment Format: Check Applicable Box: Provider Name:National Provider Identifier (NPI): o Corporate Filename NPI Issued
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Gather all necessary information and paperwork such as identification, medical history, and contact information.
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Submit the filled out form to the designated DHHS office either in person, by mail, or online if available.
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Tuberculosis (TB) is a contagious bacterial infection caused by Mycobacterium tuberculosis that primarily affects the lungs but can also impact other parts of the body.
Health care providers, laboratories, and public health officials are typically required to file tuberculosis reports to the Department of Health and Human Services (DHHS) when a case is identified.
To fill out the tuberculosis report, complete the designated forms provided by DHHS with the patient's demographics, clinical information, and relevant laboratory results, ensuring all required fields are accurately populated.
The purpose of tuberculosis reporting to DHHS is to monitor TB cases, implement public health interventions, ensure treatment compliance, and prevent the spread of the disease within the community.
The information that must be reported includes patient identification details, clinical diagnosis, dates of diagnosis and treatment initiation, laboratory results, and any other relevant clinical information.
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