Tuberculosis (TB)
- Targeted Tuberculosis (TB) Screening Guidelines
- TB Skin Test Not Indicated – Letter
- Prior Authorization Request Form
- Patient Assistance Guidance
- Patient Risk Assessment
- Active & Extrapulmonary TB Treatment
- English
- Sputum Collection Instructions (English)
- ACTIVE Contact Investigation Report
- ACTIVE Contact Investigation Summary
- ACTIVE DOT Agreement
- ACTIVE DOT Treatment Record
- ACTIVE Treatment Completion/Discontinuation Letter
- ACTIVE Treatment Patient Education
- ACTIVE Home Evaluation Form
- ACTIVE Home Isolation Agreement
- ACTIVE Treatment Monitoring Form
- ACTIVE Patient Medication List
- Espanol
- Sputum Collection Instruction (SPANISH)
- Acuerdo de terapia observada directamente (Active TB DOT Agreement)
- Acuerdo de aislamiento en el hogar (Home Isolation Agreement)
- Tratamiento de la infección con tuberculosis (TB Infection Patient Education Form)
- Tratamiento de la enfermedad de tuberculosis (TB Disease Patient Education Form)
- English
- Latent TB Treatment
- English
- Espanol