Skip Navigation LinksWyoming Department of Health Preventive Health and Safety Division Tuberculosis (TB) Control Forms and Instructions for Active Tb Cases and Follow-up

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Diagnosing TB and Determining Case Status:   


TB Risk Assessment

Prior Authorization Form


Treatment and Patient Follow-up:


Active Patient Assessment Form

Active TB Education Form

TB Directly Observed Therapy Agreement

TB Directly Observed Therapy Form

TB Formulary

TB Home Evaluation

TB Home Isolation Agreement

TB Medication List Form

Use or Disclosure Authorization


Contact Investigation:


TB Contact Investigation Report

TB Contact Investigation Summary


Inter-jurisdictional Notification of Active TB Case:


TB Interjurisdictional Notification Form