Wisconsin Tuberculosis (TB) Record
Wallet Card for TB Skin Test Results
(Click on picture above to see larger image)
To order Wallet Cards, click on the link below and fill out form DMT0025A.
http://dhfs.wisconsin.gov/forms/DMT/dmt0025a.doc
The publication numbers for the wallet cards are:
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DPH 4756 - Wisconsin
Tuberculosis Record (English)
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DPH 4756S - Wisconsin Tuberculosis
Record (Spanish)
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DPH 4756H - Wisconsin Tuberculosis
Record (Hmong)
For questions about the cards, please contact the TB
Program, call 608-266-9692, or email Helen
Norgord.
Last Revised: October 24, 2008
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