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Get Interjurisdictional Tb Notification Form

Ical definition Not verified Contact (send local contact form, if follow-up performed): No follow-up performed Never located Evaluated: Class II Class III Class IV No infection Started treatment Continuing treatment Completed treatment Other LTBI/Converters: No follow-up performed Continuing treatment Never located Completed treatment Started treatment Other Comments: Person completing form Date completed / / (Adapted from 2002 NTCA Form) / (UDOH, September 2010).

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Keywords relevant to Interjurisdictional Tb Notification Form

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  • U2
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  • III
  • converters
  • notification
  • evaluated
  • UNCOOPERATIVE
  • interim
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  • completing
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  • iv
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