Medical Records

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Bacteriology Flow Sheet (Sample)

Clinician Progress Notes #1 - NEW

Clinician Progress Notes #2 - NEW

Contact Investigation Form

DOT Agreement

DOT Log (Sample)

Guidelines for Using the TB Medical Record and Completing the Forms

Medication List (Sample)

Vision and Hearing Monitoring

Patient Isolation Instructions

TB Clinic Record (Sample)

TB and Health Assessment/History

TB Intake Sheet

Monthly Clinical Assessment

• Case/Suspect
• LTBI | (Sample)
• Joint | (Sample)
• LTBI - Landscape (9 month version)

TB Service Plans

• Master [MS Word]
• Case/Suspect [MS Word]
• LTBI [MS Word]
• Contact [MS Word]

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