This version of the form is not currently in use and is provided for reference only. Download this version of the document for the current year.
Tuberculosis Surveillance Report Form is a legal document that was released by the Connecticut State Department of Public Health - a government authority operating within Connecticut.
Q: What is the Tuberculosis Surveillance Report Form?
A: The Tuberculosis Surveillance Report Form is a document used to collect information about tuberculosis cases in Connecticut.
Q: Who fills out the Tuberculosis Surveillance Report Form?
A: Healthcare providers, laboratories, and local health departments fill out the Tuberculosis Surveillance Report Form.
Q: Why is the Tuberculosis Surveillance Report Form important?
A: The Tuberculosis Surveillance Report Form helps track and monitor tuberculosis cases in Connecticut to prevent the spread of the disease.
Q: What information is collected on the Tuberculosis Surveillance Report Form?
A: The Tuberculosis Surveillance Report Form collects information about the patient, their demographics, the type of tuberculosis, and the treatment received.
Form Details:
Download a fillable version of the form by clicking the link below or browse more documents and templates provided by the Connecticut State Department of Public Health.