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  1. All positive TST, IGRA, chest x-ray, smear and culture results suggestive of tuberculosis disease or latent tuberculosis infection should be reported to the Missouri Department of Health and Senior Services (fax number: 573-526-0235) or your local public health agency using this form .

  2. The Bureau of Communicable Disease Control and Prevention uses the following forms: CD-1 Disease Case Report: Used by any health care provider or laboratory to report reportable disease (including tuberculosis infection and disease, but not AIDS/HIV) according to RSMo 192.006 and 192.020; 19 CSR 20-20.020 and 19 CSR 20-080 (See Appendix 3).

  3. Rev. 2.8.22. NCMC Risk Assessment Form Tuberculosis Targeted Testing Requirements. If you answered YES to any of the questions on the other side of this sheet, you are a candidate for a tuberculin skin test or IGRA and need to contact a local public health agency to receive a TB test.

  4. People, who become infected with TB bacteria, usually have had very close, day-to-day, contact with someone who has TB disease (e.g. a family member, friend, or close co-worker). You're not likely to get infected from someone coughing in line at a supermarket or at a restaurant.

  5. Fill in and download the MO580-3015 Tuberculosis (TB) Risk Assessment Form for Missouri online for free. Save time and streamline your document management.

  6. MISSOURI DEPARTMENT OF ELEMENTARY AND SECONDARY EDUCATION OFFICE OF CHILDHOOD - CHILD CARE COMPLIANCE. MEDICAL EXAMINATION REPORT FOR CAREGIVERS AND STAFF. this form is to be kept on file at the child care facility.

  7. TBC-16 TB Medication Record. 4.13 . TBC-18 TB Skin Test Record. 4.14 . TBC-19 Certificate of Completion of TB Treatment. 4.15 . TBC-DSP Diagnostic Services Eligibility authorization Form. 4.16 . Cohort Presentation Form. 4.17 . Progress Notes. 4.18 . TB Risk Assessment Form. 4.19 . TBC-7 3HP Regimen Form. 4.20 . Latent TB Infection Completion ...

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