Get Tb Case Report Form - Sph Bu

Filling out the TB Case Report Form - Sph Bu online is a crucial step in reporting tuberculosis cases effectively. This guide provides a clear, step-by-step walkthrough for users to ensure accurate completion of the form while adhering to best practices in digital document management.

Follow the steps to successfully complete the TB Case Report Form - Sph Bu online.

1. Press the ‘Get Form’ button to access the form and open it in your document editing interface.
2. Begin by providing the demographic information. Fill in your last name, first name, full address including city, state, and zip code, and specify your contact phone number. Be sure to include your primary language and the date of birth.
3. Indicate your sex by selecting one of the provided options: Female, Male, Transgender, or Unknown. Additionally, you should list your place of birth and occupation information.
4. Next, review the clinical information section. Here, answer questions regarding symptoms such as chest pain, fever, weight loss, cough, and night sweats. Provide dates and additional information where applicable.
5. Fill in the results of the Tuberculin Skin Test (TST) and QuantiFERON® tests. Indicate the date they were administered along with their results.
6. Document the findings from the chest X-ray, including whether it was done and the results. Note the date the X-ray was performed.
7. Continue to page two of the form, completing details regarding the site of disease, type of specimen collected, and results for smear and culture testing.
8. Record medication details such as whether medications have started, along with the date, and specific doses for medications like and .
9. Provide hospitalization details if applicable, including the hospital name and dates.
10. At the bottom of the form, fill in the names and contact details for the person completing the form, the primary health care provider, and the TB care provider.
11. Once all fields are completed, review your entries for accuracy, save any changes, and choose to download, print, or share the form as needed.

Complete your TB Case Report Form - Sph Bu online today to ensure timely and accurate reporting.