Directly Observed Therapy Agreement 2026

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  1. Click ‘Get Form’ to open the Directly Observed Therapy Agreement in the editor.
  2. Begin by entering the patient's last and first name in the designated fields at the top of the form.
  3. Fill in the date of birth for accurate identification.
  4. If applicable, provide the guardian's name in the specified section.
  5. In the treatment section, review and understand that TB medications must be taken for 6 to 9 months under directly observed therapy (DOT).
  6. Complete the location field where DOT will occur, followed by selecting the days of the week when medications will be taken.
  7. Specify the time for medication intake, ensuring it is clear whether it is AM or PM.
  8. Read through the agreement carefully, then sign and date where indicated. If an interpreter is present, they should also sign.

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The standardized regimens for anti-TB treatment recommended by WHO include five essential medicines designated as first line: (H), rifampicin (R), pyrazinamide (Z), (E) and streptomycin (S). Table 2.1 shows the recommended doses for adults and children.
The DOTS strategy is based on five components: Political and administrative commitment. Good quality diagnosis, primarily by sputum smear microscopy. Uninterrupted supply of quality drugs. Directly observed treatment (DOT) Systematic monitoring and accountability.
A method of drug administration in which a health care professional watches as a person takes each dose of a medication. Directly observed therapy (DOT) is used to ensure the person receives and takes all medications as prescribed and to monitor response to treatment.
Existing data highlight the need for DOT, at minimum, in populations at higher risk for adverse outcomes from TB therapy. People with risk factors for non-adherence, people with TB with docHub morbidity and people with infectious drug-resistant disease should be considered for DOT.

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