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This version of the form is not currently in use and is provided for reference only. Download this version of
State Form 49894
for the current year.
State Form 49894 Report of Latent Tuberculosis Infection (Ltbi) - Indiana
What Is State Form 49894?
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.
FAQ
Q: What is form 49894?
A: Form 49894 is the Report of Latent Tuberculosis Infection (LTBI) in the state of Indiana.
Q: Who needs to fill out form 49894?
A: Healthcare providers are typically responsible for filling out form 49894.
Q: What is the purpose of form 49894?
A: Form 49894 is used to report cases of latent tuberculosis infection (LTBI) in Indiana.
Q: Is completing form 49894 mandatory?
A: Yes, healthcare providers are required to complete and submit form 49894 for cases of latent tuberculosis infection (LTBI) in Indiana.
Q: Can I fill out form 49894 for myself?
A: No, form 49894 is typically completed by healthcare providers for their patients.
Q: What information is required on form 49894?
A: Form 49894 typically requires information about the patient's demographics, TB skin test results, and treatment information.
Q: How often is form 49894 submitted?
A: Form 49894 is typically submitted within 30 days of diagnosing a case of latent tuberculosis infection (LTBI).
Form Details:
- Released on May 1, 2022;
- The latest edition provided by the Indiana State Department of Health;
- 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 fillable version of State Form 49894 by clicking the link below or browse more documents and templates provided by the Indiana State Department of Health.
Download State Form 49894 Report of Latent Tuberculosis Infection (Ltbi) - Indiana
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