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Guidelines & Forms

Forms
Guidelines and Manuals

Forms

Tuberculosis - Health 939 Form August 9, 2010 [PDF, 195 KB]
Tuberculosis 939 Form updated as of August 2010.

Doctor Referral Form to TB Control Clinic July 22, 2010 [PDF, 123 KB]
Form to be used by doctors to refer clients to the TB Control Clinic.

Medication Reconciliation Form June 30, 2010 [PDF, 23 KB]
Medication Reconciliation Form

Order Form for TB Control Brochures June 16, 2010 [PDF, 63 KB]
Order Form for TB Control Brochures

DCV Customer Order Form June 3, 2010 [PDF, 149 KB]
This is for ordering health forms (939s, etc.) from the Distribution Centre in Victoria.

Tuberculin Monthly Report Form HLTH 8771 June 3, 2010 [PDF, 65 KB]
Tuberculin Monthly Report HLTH 8771

Tuberculosis Medication Reorder Form June 3, 2010 [PDF, 2 MB]
Tuberculosis Medication Reorder Form

PharmaNet Patient Consent to Access Form April 1, 2010 [DOC, 28 KB]
PharmaNet Patient Consent to Access Form

Follow-up Contact Assessment TB Control HLTH 836(S) March 26, 2010 [PDF, 93 KB]
Follow-up Contact Assessment TB Control HLTH 836(S)

Record of Supervised TB Medications HLTH 832 March 26, 2010 [PDF, 140 KB]
Record of Supervised TB Medications HLTH 832

Mycobacteriology and TB Requisition. March 25, 2010 [PDF, 287 KB]
Mycobacteriology and TB Requisition.

Storage and Handling of PPD March 25, 2010 [DOC, 46 KB]
Guidelines for the Storage and Handling of PPD.

Tuberculosis Starter Unit Drug Order Form March 10, 2010 [PDF, 31 KB]
This document is used by health units to reorder tuberculosis starter units.

Biologicals Return and Redistribution Requirements Form December 4, 2009 [PDF, 41 KB]
Note: A Field Return Form must be submitted to the biologicals desk first. The desk will then contact you to advise on the completion of this form.

Vaccine Temperature Form October 7, 2009 [PDF, 260 KB]
Temperature log form for tracking vaccine refrigerator temperature twice daily.

What is TB not TV Video Order Form September 25, 2009 [DOC, 9 MB]
This is the order form for the video What is TB not TV?

TB - Completion LTBI Treatment September 22, 2009 [PDF, 51 KB]
Form for completion treatment of latent tuberculosis infection.

TB - Notification of Abnormal AST form.pdf September 22, 2009 [PDF, 53 KB]
Prophylaxis: notification of abnormal AST levels.

TB - Request for Preventative Therapy form September 22, 2009 [PDF, 49 KB]
Request for preventative therapy form.

PPD Antigen and BCG Vaccine Order Form August 11, 2009 [PDF, 41 KB]
PPD Antigen and BCG Order Form

Guidelines and Manuals

Ethionamide Counselling Sheet in English for Field Operations August 23, 2010 [PDF, 35 KB]
Ethionamide Counselling Sheet in English for Field Operations

Tuberculosis Control (Chapter 4, CD Manual) June 28, 2010 [PDF, 3 MB]
Guidelines for health professionals on TB Control - Chapter 4, Communicable Disease Manual.

DOT MANUAL June 2, 2010 [PDF, 7 MB]
This is the manual for Directly Observed (DOT) Therapy for Tuberculosis.

Decision Support Tool, Chest x-ray for Tuberculosis Screening April 9, 2010 [PDF, 144 KB]
Decision Support Tool, Chest X-ray for Tuberculosis Screening

Decision Support Tool, Tuberculin Skin Testing for Tuberculosis Screening April 9, 2010 [PDF, 209 KB]
Decision Support Tool, Tuberculin Skin Testing for Tuberculosis Screening

Registered Nursing Competencies for Tuberculosis Screening, Chest X-ray and Tuberculin Skin Test April 9, 2010 [PDF, 31 KB]
Registered Nursing Competencies, X-ray and Tuberculin Skin Test

Communicable Disease Control Manual May 29, 2009 [HTML]
BC Communicable Disease Manual.

BC Harm Reduction Strategies and Services Policy and Guidelines May 7, 2009 [PDF, 45 KB]
These guidelines support harm reduction strategies and services pertaining to problematic substance use and sexual health.

NOTE: Documents referenced on this page require Adobe Reader.

Last Updated: June 22, 2009