TB Reporting Forms and Instructions for Local Health Departments

The Tuberculosis reporting forms and instructions provided on this page are for use by California Local Health Departments only.

Report of Verified Case of Tuberculosis (RVCT) Reporting: Cases Counted in 2010

RVCT - Rev. 12/2009 (PDF, New Window)

Revised RVCT, for use in reporting cases counted in 2010 and later

RVCT FU-1 - Rev. 12/2009 (PDF, New Window)

Revised F/U1, for use with 2010 cases

RVCT FU-2 - Rev. 12/2009 (PDF, New Window)

Revised F/U2, for use with 2010 cases

Tuberculosis Registry Guidelines 5.0 ("Poppy Manual") - (51MB ZIP file, New Window)

This link downloads a compressed file containing the Poppy Manual help system. To use it, you must copy the .chm file to your local machine. Either unzip/save the file to your desktop or drag and drop the file on your desktop.

RVCT Death Algorithm (PDF, New Window)

Tool for completing RVCT Items 15 and 44.

Genotyping Isolate Submission and Instructions

Tuberculosis Isolate Data Form for Genotyping (Excel, New Window)

Outbreak Response and Reporting

Preliminary Report of Communicable Disease Outbreak - CDPH 9060

TB Outbreak Response Team Fact Sheet (PDF, New Window)

TB Outbreak Reporting Form and Instructions

Aggregate Reports for Tuberculosis Program Evaluation (ARPE)

ARPE California - Aggregrate Reports for Tuberculosis Program Evaluation - Contact Report Form and Instructions (PDF, New Window)

ARPE California - Schedule for Reporting Contacts to TB Cases in California (PDF, New Window)

ARPE California - Common Questions and Answers (PDF, New Window)

Interjurisdictional Transfer Recommendations

RVCT Reporting Instructions for Patients that Move (PDF, New Window)

NTCA Interjurisdictional TB Notification Recommendations (PDF, New Window)

NTCA Interjurisdictional TB Notification Form (PDF, New Window)

NTCA Interjurisdictional TB Notification Follow-Up Form (PDF, New Window)

A/B Notification Reporting

B-Notification & EDN system Frequently Asked Questions (PDF, New Window)

EDN B-Notification Worksheet (PDF, New Window)

EDN Tuberculosis Follow-Up Guide (CDC), (PDF, New Window)

EDN Worksheet Instructions (PDF, New Window)

Guidelines for Follow-Up and Assessment of B-Notification Arrivals (PDF, New Window)

Contact Investigation

Case Contact Roster Form (CCR) (PDF, New Window)

Contact Information Form (CIF) (PDF, New Window)