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ELKHART AND ST. JOSEPH COUNTIES HEAD START CONSORTIUM 245 North Lombardy Drive, Door 1, South Bend, IN 46619Tuberculosis (PPD) Test/TRAP Record Employees Name: ___ Site/Position: ___ Employee Signature:

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Obtain the appropriate form for filling out the tuberculosis TB-ST.

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Fill in all required personal information accurately, such as name, age, sex, address, etc.

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Provide details about medical history and any previous TB treatment, if applicable.

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Individuals suspected of having tuberculosis or those at high risk of contracting the disease may need to fill out a tuberculosis TB-ST form.

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What is tuberculosis tb - st?

Tuberculosis tb-st stands for Tuberculosis Surveillance and Treatment. It is a form used to report cases of tuberculosis and the treatment provided.

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Healthcare providers and facilities are required to file tuberculosis tb-st for individuals diagnosed with tuberculosis.

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Information such as patient demographics, diagnosis, treatment regimen, and follow-up care must be reported on tuberculosis tb-st.

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