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Positive Tuberculin Skin Test Report If active TB is suspected please notify the health unit immediately at 7054741400 or 18005632808 ext. 2229 Client Demographics Name: Male Female Date of Birth:
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How to fill out if active tb is:

01
Gather necessary information: Before filling out any documents related to active tuberculosis (TB), you should collect all the required information. This may include personal details, medical history, test results, and any other relevant documentation.
02
Follow the instructions: Read and understand the instructions provided on the form or document you are required to fill out. Make sure you comprehend each section and the information it requires.
03
Provide accurate personal information: Fill in your personal details correctly, including your full name, date of birth, address, contact information, and any other information requested. Providing accurate information is crucial for effective communication and follow-up.
04
Explain your medical history: In the specific section related to active TB, provide a detailed explanation of your medical history pertaining to the disease. Include information such as the onset of symptoms, treatments received, medication currently being taken, and any relevant dates or durations.
05
Be specific and detailed: It is important to provide as much specific and detailed information as you can when filling out the form. This helps healthcare professionals assess your condition accurately and make informed decisions regarding your treatment or further testing.

Who needs to know if active tb is:

01
Medical professionals: Doctors, nurses, and other healthcare professionals need to be aware of the presence of active TB in individuals to provide appropriate medical care. They require this information to administer necessary treatment, monitor progress, and take precautionary measures to prevent the spread of the disease.
02
Public health authorities: Government health agencies and public health departments need to know about active TB cases to track and control the spread of the disease within communities. This information aids in implementing preventive measures, contact tracing, and targeted interventions to minimize the impact of TB.
03
Employers and institutions: If you are seeking employment or are a student, your employer or educational institution may need to ascertain if you have active TB. They want to ensure a safe environment for their employees or students. This allows them to take appropriate measures, such as providing accommodations or precautions to prevent the transmission of the disease.
04
Immigration and travel authorities: Active TB may have implications for international travel or immigration purposes, depending on the country's health regulations. Some countries may require individuals with active TB to undergo screening processes, provide medical clearance, or adhere to specific travel restrictions.
05
Family and close contacts: Informing your immediate family members and close contacts about your active TB status is crucial to ensure their safety and promote early screening or treatment if necessary. Transparent communication allows for support from loved ones and encourages them to take necessary precautions.
By following these steps and ensuring the appropriate individuals are aware of your active TB condition, you can actively participate in managing your disease and help prevent its spread within your community.
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Active TB (Tuberculosis) is a contagious bacterial infection that primarily affects the lungs.
Medical professionals are required to report cases of active TB to the local health department.
Medical professionals must complete a TB report form provided by the local health department with details of the active TB case.
The purpose of reporting active TB is to monitor and control the spread of the disease within the community.
Information such as patient demographics, clinical findings, treatment plan, and contact tracing details must be reported on the TB report form.
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