Provider Materials

Unless otherwise noted, all materials and forms on this page are in PDF format.

Links to external resources are provided as a public service and do not imply endorsement by the Washington State Department of Health.

Refugee Health Assessment Pocket Guide (140KB)
Provides an overview of what needs to be included in the complete health screening of a refugee. All refugees should have this screening within 90 days of arrival in the U.S.
Refugee Program Manual (Spokane Regional Health District) (4MB)
Provides an example of a Refugee Program Manual from Spokane Regional Health District. The manual includes types of screenings done including Tuberculosis and Spokane’s local protocol for their screening process.
Report of Verified Case of Tuberculosis (RVCT) Form (311KB)
This is a standardized data form of the National Tuberculosis Surveillance System. You may use this form to collect data on your TB case as it collects the data that is required to be entered into the TB-PHIMS electronic reporting system.
Report of Verified Case of Tuberculosis (RVCT) Instruction Manual (1.55MB)
This manual includes the instructions on how to complete each item on the RVCT.
TB Medication Request Form (40KB PDF) This form allows local health jurisdictions to request medications for treatment of patients with active TB.
TB Services Manual
The TB Services Manual outlines how public health staff complete TB control tasks in Washington State.
TB News
The DOH TB Program offers "TB News", a quarterly newsletter keeping local health jurisdictions, stakeholders and those interested in TB up to date on activities in Washington State.
PHIMS TB (Public Health Issue Management System) User Manual (3MB)
A step-by-step guide to entering and managing infectious disease data, specifically for TB.
Tuberculin Skin Test Record (50KB)
This publication records skin testing information.

TB Manual

Cohort Review