Get Questionnaire D'enqu Te Contact D'un Cas-index De Tuberculose Active - Dspq Qc

Filling out the Questionnaire D’enquête Contact d’un Cas-index de Tuberculose Active is an essential process for tracking tuberculosis cases. This guide will provide clear, step-by-step instructions to complete the form online effectively.

Follow the steps to fill out the form correctly.

1. Click ‘Get Form’ button to obtain the form and open it in your preferred editor.
2. Start by entering the identification details in the appropriate fields. This includes the name, date of birth, main address, first name, age, phone number, and postal code. Ensure all information is accurate to avoid delays.
3. Next, provide details about the index case. This section asks for the LSPQ number and the type of diagnosis, including options like pulmonary tuberculosis or other specified types. Switch the checkboxes accordingly based on the provided information.
4. Record the contagion period. If known, indicate the start and end dates of contagion. If unknown, check the provided option.
5. Indicate the prioritization of the contacts that need to be investigated by selecting one of the three priority options, such as high, medium, or low.
6. Fill in exposure details, specifying the environment where the exposure occurred. Check all relevant boxes such as 'colleague' or 'family' and provide additional information as necessary.
7. Assess risk factors for contact. Check the boxes that apply, such as age or existing health conditions.
8. Provide vaccination history with the BCG vaccine. Check the relevant box and specify the year of the last vaccination if applicable.
9. Continue to fill out questions about previous exposure to tuberculosis, including immigration status and any prior history of tuberculosis.
10. Complete the contact investigation section by indicating whether a TCT is indicated, inputting necessary dates and results.
11. Lastly, fill out the follow-up recommendations. Check any necessary referrals for further medical evaluations or investigations.
12. After completing the form, ensure all sections are filled accurately. You can then proceed to save changes, download, print, or share your completed form.

Complete your Questionnaire D’enquête Contact d’un Cas-index de Tuberculose Active online today.