Form F-42010 Interjurisdictional Tuberculosis Notification - Wisconsin

What Is Form F-42010?

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

FAQ

Q: What is Form F-42010?
A: Form F-42010 is the Interjurisdictional Tuberculosis Notification form used in Wisconsin.

Q: What is the purpose of Form F-42010?
A: The purpose of Form F-42010 is to notify the Wisconsin Department of Health Services of a tuberculosis case that involves an out-of-state resident.

Q: Who needs to fill out Form F-42010?
A: Healthcare providers in Wisconsin need to fill out Form F-42010 when they identify a tuberculosis case involving an out-of-state resident.

Q: Is Form F-42010 specific to Wisconsin only?
A: Yes, Form F-42010 is specific to Wisconsin. It is used to notify the Wisconsin Department of Health Services.

Q: What information is required on Form F-42010?
A: Form F-42010 requires information about the tuberculosis case, including the patient's demographic information, diagnosis details, treatment history, and contact information.

Q: How should Form F-42010 be submitted?
A: Form F-42010 should be submitted electronically to the designated program within the Wisconsin Department of Health Services.

Q: Is there a deadline for submitting Form F-42010?
A: Yes, Form F-42010 should be submitted within 72 hours of identifying the tuberculosis case involving an out-of-state resident.