U.S. Citizenship and Immigration Services Resources

• I-693, Report of Medical Examination and Vaccination Record (rev 10/19)
• Designated Civil Surgeons (rev 1/20)

CA – Referrals and Latent TB Infection (LTBI) Treatment

• LTBI Referral Sites, by local health jurisdiction (rev 6/1/21)
• LTBI Report for Referral and Treatment with secure fax #s for health departments  (rev 6/1/21)
• LTBI Treatment Completion Card (rev 10/19)

CA – Reporting Latent TB Infection (LTBI) to your health department TB program

• LTBI Reporting Instructions (rev 10/18)
• CalREDIE Provider Portal Webinar Flyer (posted 2/20)
• CalREDIE Provider Reporter Account Request Form (posted 2/20)