This version of the form is not currently in use and is provided for reference only. Download this version of State Form 48092 for the current year.
This is a legal form that was released by the Indiana State Department of Health - a government authority operating within Indiana. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is State Form 48092?
A: State Form 48092 is a Monthly Tuberculosis Follow-Up Report.
Q: Who is required to complete State Form 48092?
A: Healthcare providers and facilities in Indiana are required to complete State Form 48092.
Q: What information is included in State Form 48092?
A: State Form 48092 includes information about tuberculosis cases, such as the patient's demographics, treatment status, and laboratory results.
Q: How often is State Form 48092 submitted?
A: State Form 48092 is submitted monthly.
Form Details:
Download a fillable version of State Form 48092 by clicking the link below or browse more documents and templates provided by the Indiana State Department of Health.