Get Tx Tb-400a 2018

The TX TB-400A is a crucial document used to report cases and patient services related to tuberculosis. This guide will help users navigate the process of filling out the form online, ensuring accurate and thorough submission.

Follow the steps to complete the TX TB-400A successfully.

1. Click the ‘Get Form’ button to obtain the TX TB-400A form and open it in your preferred editor.
2. Begin by filling in the personal details. Include the patient’s name, date of birth, address, and Medicaid number if applicable. Be sure to check that all information is entered accurately.
3. Indicate the report type by selecting if this is an initial report, an address change, or another change. Ensure you provide the date the form is sent to the health department and the central office.
4. In the next section, specify the facility or care provider’s name and the initial reporting source. Select one of the following options: health department, private physician, public hospital, VA hospital, military hospital, or TDCJ.
5. Continue with demographic information, including country of birth, preferred language, and race. Be sure to check all applicable boxes.
6. Provide health-related details. Indicate if the patient has tested positive for TB and include their HIV test results. Document any medical risks associated with the patient, such as chronic renal failure or diabetes.
7. Complete the treatment information if this is for latent TB infection only. Specify the Directly Observed Therapy (DOPT) frequency and location.
8. Fill in the closure section, indicating the reason for patient follow-up, such as being lost to follow-up, causes of death, or if the patient chose to stop treatment.
9. Finally, review all the information entered for accuracy, then save, download, or print the completed form as necessary.

Complete your TX TB-400A online efficiently by following these steps.