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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) - wallet card for recording TB skin test results

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

(Click on picture for 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)

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

TB Home  |  Admin. Rules  |  Forms  |  Resources National  |  Resources Patient
Resources Provider  |  Resources Wisconsin |  Statistics  

Contacts

Wisconsin Local Health Departments - Regional offices - Tribal agencies

Respiratory Diseases and International Health Unit

Division of Public Health
Bureau of Communicable Diseases and Emergency Response
1 West Wilson Street
Madison  WI 53701-2659
608-266-0049 - Secure Fax

      Jo Mercurio - Office operations
         608-266-9692
      Pa Vang - TB nurse consultant 
         608-266-9452 
      Philip Wegner - TB nurse consultant
         608-266-3729
      Norma Denbrook - Dispensary
         608-261-6388
      Savitri Tsering - Refugee health coordinator 
         608-267-3733

Last Revised: August 07, 2014