TB-400A - Texas Department of State Health Services - dshs state tx Preview on Page 1

TB-400A - Texas Department of State Health Services - dshs state tx 2026

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  1. Click ‘Get Form’ to open the TB-400A in the editor.
  2. Begin by entering the date reported to the health department and the dates for when the form was sent to both the region and central office.
  3. Fill in patient details including name, address, phone number, and facility/care provider name. Ensure accuracy as this information is crucial for follow-up.
  4. Indicate any changes such as hospital admission or name change by clearly marking them on the form.
  5. Complete sections regarding medical risks and testing activities. Check all applicable boxes to provide a comprehensive overview of the patient's health status.
  6. Review your entries for completeness before signing and submitting. Use our platform’s features to save your progress if needed.

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Related links

TB Forms Resources | Texas DSHS

TB-400A Report of Case and Patient Services (TB-400A) Latent Tuberculosis Infection. Required and Recommended Activities. Texas Department of State Health

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