Clinical History Request
CureTB can obtain information about your patient’s past TB treatment from Mexican health jurisdictions or private providers in Mexico. Note: Cultures and drug susceptibility testing are not routinely performed.
How to request clinical history:
Complete the CureTB Binational Referral Form with patient’s name and DOB. Information on where the patient was previously treated; city and state, private or public clinic, name of treating clinic or doctor in Mexico.
Outcomes for Clinical History Requests:
CureTB will follow-up within 30 days with available clinical and treatment history and, will provide a final outcome to the referring program.
- Obtained – Clinical history obtained and sent to the requesting health jurisdiction.
- Not Obtained – Clinical history not obtained, requesting health jurisdiction notified.
To Submit a CureTB Referral
You can submit a CureTB referral in three ways. Use our referral form and attach hard copies of relevant clinical information whenever possible.
- Fax: (619) 692-8020
- E-mail: firstname.lastname@example.org
- Call: (619) 542-4013