Consent and Treatment Plan (LTBI)
This is a consent and treatment plan agreement between persons who may have or have LTBI and their health care provider.
This is a consent and treatment plan agreement between persons who may have or have LTBI and their health care provider.
This is a consent and treatment plan agreement between persons who may have or have LTBI and their health care provider.
This is a form for patients and case managers/health departments to sign indicating that they understand and agree to Directly Observed Therapy for treatment of TB.
This is a consent and treatment plan agreement between persons who may have or have LTBI and their health care provider.
This is a consent and treatment plan agreement between persons who may have or have LTBI and their health care provider.
This is a form for patients and case managers/health departments to sign indicating that they understand and agree to Directly Observed Therapy for treatment of TB.
This is a form for patients and case managers/health departments to sign indicating that they understand and agree to Directly Observed Therapy for treatment of TB.
This is a form for patients and case managers/health departments to sign indicating that they understand and agree to Directly Observed Therapy for treatment of TB.
This contract form is for persons who refuse TB care, given they have been informed about LTBI and TB disease.
This contract form is for persons who refuse TB care, given they have been informed about LTBI and TB disease.