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Public Health
Seattle & King County
401 5th Ave., Suite 1300
Seattle, WA 98104

Phone: 206-296-4600
TTY Relay: 711

Click here to email us

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Home » TB Control Program » TB Clinic forms

TB Control Program
Clinic forms for TB patients and health care providers
  • Annual Check List
    Health Advisories & Resources: We use this list to check the common symptoms of active TB. This can be used for annual symptom check for someone with latent TB infection.

  • Clinic Registration Form (PDF)
    For patients: Patient registration form when first visiting the King County TB Clinic at Harborview Medical Center. Download and print this form and write in your information then bring it with you when you visit the clinic.

Please call TB Control Program at 206-744-4579 for any patient referral or consultation.

Updated: Friday, May 16, 2008 at 09:53 AM

All information is general in nature and is not intended to be used as a substitute for appropriate professional advice. For more information please call 206-296-4600 (voice) or TTY Relay: 711. Mailing address: ATTN: Communications Team, Public Health - Seattle & King County, 401 5th Ave., Suite 1300, Seattle, WA 98104 or click here to email us. Because of confidentiality concerns, questions regarding client health issues cannot be responded to by e-mail. Click here for the Notice of Privacy Practices. For more information, contact the Public Health Privacy Office at 206-205-5975.

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