Form TB-101 Latent Tuberculosis Infection Reporting Form - West Virginia

Form TB-101 Latent Tuberculosis Infection Reporting Form - West Virginia

What Is Form TB-101?

This is a legal form that was released by the West Virginia Department of Health and Human Resources - a government authority operating within West Virginia. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form TB-101?
A: Form TB-101 is the Latent Tuberculosis Infection Reporting Form.

Q: What is the purpose of Form TB-101?
A: The purpose of Form TB-101 is to report cases of latent tuberculosis infection.

Q: Who needs to fill out Form TB-101?
A: Healthcare providers need to fill out Form TB-101 when diagnosing or treating individuals with latent tuberculosis infection.

Q: Is Form TB-101 specific to West Virginia?
A: Yes, Form TB-101 is specific to West Virginia.

Q: Is Form TB-101 mandatory?
A: Yes, filling out Form TB-101 is mandatory for healthcare providers in West Virginia.

Q: What information is required on Form TB-101?
A: Form TB-101 requires information about the individual diagnosed with latent tuberculosis infection, as well as the healthcare provider's contact details and treatment information.

Q: Are there any fees associated with Form TB-101?
A: There are no fees associated with Form TB-101.

Q: Can individuals fill out Form TB-101 themselves?
A: No, Form TB-101 is to be filled out by healthcare providers only.

Q: What should I do if I have been diagnosed with latent tuberculosis infection?
A: If you have been diagnosed with latent tuberculosis infection, you should follow the treatment and guidance provided by your healthcare provider to prevent the progression to active tuberculosis.

ADVERTISEMENT

Form Details:

  • Released on October 1, 2017;
  • The latest edition provided by the West Virginia Department of Health and Human Resources;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form TB-101 by clicking the link below or browse more documents and templates provided by the West Virginia Department of Health and Human Resources.

Download Form TB-101 Latent Tuberculosis Infection Reporting Form - West Virginia

4.3 of 5 (19 votes)
  • Form TB-101 Latent Tuberculosis Infection Reporting Form - West Virginia

    1

  • Form TB-101 Latent Tuberculosis Infection Reporting Form - West Virginia, Page 2

    2

  • Form TB-101 Latent Tuberculosis Infection Reporting Form - West Virginia, Page 1
  • Form TB-101 Latent Tuberculosis Infection Reporting Form - West Virginia, Page 2
Prev 1 2 Next
ADVERTISEMENT