Targeted Tuberculosis (TB) Screening Guidelines
2024 Risk Assessment – Patient (English)
Risk Assessment – Patient (SPANISH)
TB Skin Test Not Indicated – Letter
Prior Authorization Request Form
LATENT Treatment Completion/Discontinuation Letter (English)
LATENT Directly Observed Therapy (DOT) Agreement (English)
Latent Directly Observed Therapy (DOT) Agreement (SPANISH)
LATENT Treatment Patient Education
LATENT & ACTIVE Treatment Monitoring Form
LATENT & ACTIVE Patient Medication List
ACTIVE Contact Investigation Report
ACTIVE Contact Investigation Summary
ACTIVE DOT Agreement (English)
ACTIVE DOT Agreement (SPANISH)
ACTIVE Treatment Completion/Discontinuation Letter
ACTIVE Treatment Patient Education (English)
ACTIVE Treatment Patient Education Form (SPANISH)
ACTIVE Home Isolation Agreement (English)
ACTIVE Home Isolation Agreement (SPANISH)