Tuberculosis (TB) Reporting and Referrals

Health Care Provider Advisory

Key Changes and Highlights

• Reporting of positive TB Skin Tests (TSTs), IGRAs, and referrals to TB Clinic streamlined into a single form.
• New Tuberculosis Preventive Treatment (TPT) Order Form available for community health care providers prescribing latent TB infection (LTBI) treatment for uncomplicated cases.
• Submission must include a fully completed Tuberculosis Reporting and Referral Form.

Responsibilities of Ordering Health Care Providers

• Order and assess all baseline and treatment‑monitoring bloodwork.
• Address issues or concerns arising during treatment.

Public Health Responsibilities

• Dispense all TB medications at no cost.
• Provide treatment‑adherence support.
• Assist with bloodwork reminders.
• Notify the ordering health care provider of issues as they arise.

Health Care Provider Action Required

• Dispose of all copies of the obsolete Report of Positive TB Skin Test Form and Health Care Provider Treatment and Referral Form.
• Use the new Tuberculosis Reporting and Referral Form to:
  • Report all positive TSTs and IGRAs with a recent chest X‑ray report.
  • Refer patients to TB Clinic based on clinical assessment.
• Use the Tuberculosis Preventive Treatment in Adults – Order Sheet for Community Practitioners to prescribe LTBI medication for uncomplicated cases.
• Complete all sections of required forms before submission.
• Request copies of updated forms from the Public Health website: https://rebrand.ly/RequestAForm
• Refer to the Canadian TB Standards, 8th Edition (2022) for guidance on LTBI diagnosis and treatment.
• Submit completed forms by fax to 519‑883‑2248.

Contact

Region of Waterloo Public Health – TB Line
Phone: 519‑575‑4400 ext. 5281
TTY: 519‑575‑4608