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Wisconsin Tuberculosis Record

This card in English and Hmong provides a place for health professionals to record tuberculin skin test results, QFT result, chest x-ray date, TB status, the medical treatment being administered, and contact information for the service provider. The card is given to the patient to serve as a permanent record of TB status.

Author:
Wisconsin Department of Health and Family Services, Division of Public Health, Bureau of Communicable Diseases, Tuberculosis Control Program
Format:
Tool
Publication Date:
2005
ID:
32792
  • Persons With LTBI
  • TB
  • Diagnosis
  • TB Skin Test
  • TB Treatment
  • Diagnosis- Chest X-Ray
  • Treatment- Medication Information
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