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Tuberculosis Forms

 

The following forms are available for download:
TB Registration Form Rev. 5/07 (50kB)
If you are receiving a TB skin test or chest x-ray through a Hawaii State Department of Health TB clinic, fill out this registration form and bring it with you.
   

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Hawaii State Department of Health · 1250 Punchbowl Street · Honolulu, HI 96813

Hawai`i Tuberculosis Control Program
Lanakila Health Center
1700 Lanakila Avenue
Honolulu, HI 96817
Phone: (808) 832-5731   Fax: (808) 832-5846
TB Info Line: (808) 832-5738