Forms

Guidelines for Using the TB Medical Record and Completing the Forms – All individuals who are reported to the health department as a suspect or confirmed case of active TB disease, regardless of the source of care, should have a permanent VDH case management record.  This document provides information on the use of specific forms that have been designed for use in the VDH TB records.

The majority of documents below have been converted to fillable PDF forms and uploaded to the VDH Division of Tuberculosis and Newcomer Health Media Server as of 5/9/18.

Monthly Clinical Assessment

TB Service Plans

All other TB Forms