Get Form 7. Ntp Referral Form Return Slip - National Tb Control ...
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How to fill out the Form 7. NTP Referral Form Return Slip - National TB Control online
Filling out the Form 7. NTP Referral Form Return Slip - National TB Control online is essential for ensuring proper patient referrals and treatment tracking. This guide provides clear, step-by-step instructions on how to complete the form accurately and efficiently.
Follow the steps to complete the form online.
- Press the ‘Get Form’ button to download the form and open it in the editing tool.
- Start by entering the TB case number at the top of the form. This number is crucial for tracking the treatment status and should be recorded accurately.
- Fill in the 'To:' section with the name of the facility or person to whom the referral is being made. Make sure to double-check the spelling.
- Enter the 'Date Referred:' in the designated space. This will help keep track of when the referral was made.
- Complete the 'Referring Unit' section by providing the name, telephone number, fax number, email address, and complete address of the referring unit.
- In the 'Name of Patient' section, carefully write the patient's surname, given name, and middle name. Accuracy is important for identification.
- Fill in the patient's age, complete address, sex, weight in kilograms, and contact number to ensure that all necessary information is provided.
- Select the 'Reason for Referral' by checking the appropriate options and providing further details if necessary in the space provided below.
- If applicable, include the 'History of TB Treatment' such as treatment start date, name of treatment unit, anti-TB drugs taken, and their duration. It's also important to indicate the treatment outcome.
- Make sure to attach the required documents, including copies of previous NTP treatment cards, latest DSSM results, and any other laboratory results as specified.
- Finally, ensure that the referring DOTS staff completes their name, signature, cellphone number or email address, and designation.
- Once all fields are completed and reviewed, you can choose to save your changes, download the form, print it, or share it as needed.
Start filling out your Form 7 online today to ensure timely and accurate referral for treatment.
The Tuberculosis Treatment Card is a paper-based recording form that is kept in the institution treating the TB patient under the National TB Elimination Programme (NTEP). It is a pre-requisite documentation related to treatment services offered to TB patients under NTEP.
Fill Form 7. NTP Referral Form Return Slip - National TB Control ...
Please attach copy of: 1. This document is a referral form used to transfer tuberculosis (TB) patients between treatment facilities. NTP REFERRAL FORM ; Form 7. Presumptive TB Masterlist 143 KB 3892 downloads ; Form 2a.
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