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Interjurisdictional Notifications

Interjurisdictional notifications are used to notify outside local health jurisdictions of patients on TB treatment who are transferring to new local health jurisdiction. The two forms should be used to assist in getting useful information to the right people in a timely manner. Updated forms can be found on the National TB Controllers Association website.

 

  • Interjurisdictional TB Notification Form: Use this form to notify local health jurisdictions outside of Michigan of persons moving if they are an active or suspect TB case, contact, class A or B, or TB infection. This form is a fillable PDF and was last updated by the NTCA in May 2015.
     
  • Interjurisdictional TB Notification Follow-Up Form: Use this form to follow-up on an interjurisdictional notification. This form is a fillable PDF and was last updated by the NTCA in November 2014.