Tuberculosis (TB) - Wallet Card for Recording TB Skin Test Results

To order wallet cards, fill out form F-80025a.

Reference the Form/Publication below that is in the language you want and email your request directly to the Division of Public Health (DPH) contact listed on the form. The quantity you request will be sent to the "SHIP TO:" address you specify.

  • F-44756 - Wisconsin tuberculosis record (English)

  • F-44756S - Wisconsin tuberculosis record (Spanish)

  • F-44756H - Wisconsin tuberculosis record (Hmong)

For more information or questions, contact the Respiratory Diseases and International Health Unit or your Wisconsin Local Health Department.

Last Revised: May 19, 2016