Department of Health Services Logo

 

Wisconsin Department of Health Services

Communicable  Diseases Subjects A-Z _________

AIDS/HIV

Immunization

Sexually
Transmitted
Diseases

==========
Tuberculosis
==========
Refugee Health

Wisconsin Tuberculosis (TB) Record

Wallet Card for TB Skin Test Results

Image of the Wisconsin Tuberculosis Record Card, click image for a larger view.

(Click on picture above to see larger image)

To order Wallet Cards, fill out form F80025a. (Word-fillable, 190 KB)

The publication numbers for the wallet cards are:

  • F44756 - Wisconsin Tuberculosis Record (English)

  • F44756S - Wisconsin Tuberculosis Record (Spanish)

  • F44756H - Wisconsin Tuberculosis Record (Hmong)

For questions about the cards, please contact the TB Program, call 608-266-9692, or email Helen Norgord.

Last Revised: April 24, 2013