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Wisconsin Department of Health Services

Communicable  Diseases Subjects A-Z _________

AIDS/HIV

Immunization

Sexually
Transmitted
Diseases

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Tuberculosis
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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

  • F44756 - Wisconsin Tuberculosis Record
    (English)

  • F44756S - Wisconsin Tuberculosis Record (Spanish)

  • F44756H - Wisconsin Tuberculosis Record (Hmong)

Contact

Jo Mercurio, Office operations
Wisconsin Division of Public Health 
Bureau of Communicable Diseases and Emergency Response
(Phone 608-266-9692)  (Fax 608-266-0049)

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Last Revised: March 26, 2014