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Get Tuberculosis Surveillance Report Tb -86 Form Page ... - Ct
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How to fill out the tuberculosis surveillance report TB-86 form page online
This guide provides essential instructions for completing the tuberculosis surveillance report TB-86 form online. Designed for all users, it offers step-by-step directions to ensure accurate and efficient form submission.
Follow the steps to fill out the form accurately
- Click the ‘Get Form’ button to obtain the TB-86 form and access it in the online editor.
- Begin by entering the patient's name in the designated fields, ensuring to separate the first and last names as required.
- Input the case number, which is for office use only, leaving the field blank if you do not have that information.
- Fill in details about the patient's birth sex by selecting either 'M' for male or 'F' for female.
- Enter the patient’s street address, city, state, and ZIP code accurately to ensure proper identification.
- Select the race of the patient by ticking the appropriate box or boxes according to their identity.
- Provide the country of birth and the Social Security Number (if applicable) in the designated fields.
- Indicate if the patient has had previous TB by selecting 'yes' or 'no' and providing the year if applicable.
- Complete the sections regarding the patient’s immigration status. Select the appropriate status from the drop-down menu.
- If the patient is under 15 years old, fill in the relevant pediatric TB patient information.
- Input all necessary details about the patient's medical history, including symptoms and the status of diagnosis.
- Enter the bacteriology results regarding tests conducted and the dates they were collected.
- Complete the initial treatment regimen, including details of medications and dosages, ensuring accuracy.
- Once all sections are completed, review the information for accuracy and completeness.
- After finalizing your entries, you can save changes, download, print, or share the completed form as needed.
Start completing your tuberculosis surveillance report online today.
When writing tuberculosis, be sure to use the full term or its abbreviation 'TB'. It’s essential to maintain consistency in documentation, especially when filling out the TUBERCULOSIS SURVEILLANCE REPORT TB -86 FORM PAGE ... - Ct. This clarity helps eliminate any confusion and promotes better understanding.
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