Tuberculosis
Information for Local Health
Departments
Alerts & Hot Topics
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Manuals and Guides
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Support Services
- Nurse Consultants:
- Tuberculosis Drug Shipment Program (see Chapter VII of N.C. TB Policy Manual)
- Order form - TB Biologicals Requisition and Inventory (DHHS 3093) (PDF, 643KB)
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Forms
- DHHS:
- Confidential Communicable Disease Report Form - DHHS 2124
(PDF) - Physicians and healthcare providers may use this form to notify the local
health department of reportable communicable disease cases.
- TB Drug Record- DHHS 1391
(PDF 204KB) Revised May 2025
- TB Epidemiological Record- DHHS 1030 (PDF 344KB) Revised May 2025
- TB Flow Sheet- DHHS 2810
(PDF 235KB) Revised May 2025
- Nursing Record of TB Contacts- DHHS 1662 (PDF
199KB) Revised May 2025
- Record of TB Screening- DHHS
3405 (PDF 227KB) Revised May 2025
- SLPH Mycobacteriology Lab Requisition (DHHS
1247) - Specimens for isolation and identification of all Mycobacterium
species (including Mycobacterium tuberculosis complex and other nontuberculous
mycobacteria) are accepted from public and private health care providers.
- TB Biologicals Requisition and Inventory- DHHS 3093 (PDF 643KB) Revised May 2025
- Report of Positive Smear (AFB) and/or Positive Culture of TB- DHHS 3005 (PDF 362KB) Revised May 2025
- Individual Contact Form- DHHS
4097 (PDF 147KB) Revised May 2025
- Other:
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Tools & Websites
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