Form 7. NTP Referral Form TB Case Number To:Date Referred:Please accommodate the patient bearing this referral form. Kindly inform the Referring DOTS Staff as soon as patient has been evaluated by.

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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.

  1. Press the ‘Get Form’ button to download the form and open it in the editing tool.
  2. 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.
  3. 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.
  4. Enter the 'Date Referred:' in the designated space. This will help keep track of when the referral was made.
  5. Complete the 'Referring Unit' section by providing the name, telephone number, fax number, email address, and complete address of the referring unit.
  6. In the 'Name of Patient' section, carefully write the patient's surname, given name, and middle name. Accuracy is important for identification.
  7. Fill in the patient's age, complete address, sex, weight in kilograms, and contact number to ensure that all necessary information is provided.
  8. Select the 'Reason for Referral' by checking the appropriate options and providing further details if necessary in the space provided below.
  9. 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.
  10. Make sure to attach the required documents, including copies of previous NTP treatment cards, latest DSSM results, and any other laboratory results as specified.
  11. Finally, ensure that the referring DOTS staff completes their name, signature, cellphone number or email address, and designation.
  12. 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.

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What is the treatment card for TB?

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.

Of the approved drugs, (INH), (RIF), (EMB), and (PZA) are considered first-line anti-TB drugs and form the core of standard treatment regimens (Figure 6.4) (Table 6.2). (RBT) and (RPT) may also be considered first- line drugs under certain circumstances.

Table 2.3 shows the possible therapeutic options for previously treated patients (Category II regimen). The standard re-treatment regimen consists of: five drugs in the initial phase (rifampicin, , , and ).

This wallet-sized card provides LTBI patients with a permanent record of their tuberculin skin test, chest x-ray and treatment status. Patients can carry the card at all times and show it whenever they are seen by a new healthcare provider.

The information contained in this card will help to continue treatment in case the patient is transferred or admitted to any other health facility any time during the treatment period.

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