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Civil Surgeon update

As of October 1, 2018, the new Tuberculosis Technical Instructions for Civil Surgeons require reporting individuals diagnosed with LTBI to the health department of your jurisdiction.

Please complete this form and fax the form, the IGRA report, and a radiology report to 206-744-4350.

For those with abnormal x-rays concerning with tuberculosis, please continue to alert us. The information (e.g. radiology report) can be faxed to 206-744-4350 or you can call us at 206-744-4579.

For patients:

Where to get a tuberculosis (TB) test

Public Health — Seattle & King County no longer provides TB testing for work or school purposes. This service can be provided by your private medical provider, community health center or occupational health clinic.


For health care and social service providers:

Disease reporting requirements

Physicians are required by state law to report suspected cases of active TB to the county health department within one day. Do not wait for culture confirmation, which may take up to two months, to report the case. Delayed reporting may contribute to the development of multidrug resistance and to increased transmission of infection and disease if contact investigation is delayed.

A case does not need to be referred, simply reported. Quarterly status reports on each diseased patient must be furnished to the county TB control program. Positive results of TB skin test, QuantiFERON, or TSpot do not need to be reported.

TB Control Program
HMC Box 359776
325 9th Ave
Seattle, WA 98104-2499

We are located in East Clinic wing of Harborview Medical Center, on the ground floor, next to the Gamma Knife Center.

Phone: 206-744-4579. Appointments are required.

Clinic hours:

  • Monday, Tuesday, Thursday and Friday
    8:00 am to 4:30 pm

  • Wednesdays
    1:00 pm to 4:30 pm

Washington TB Collaborative Network (WTCN)

The Washington TB Collaborative Network (WTCN) provides staffing, lab and materials support for Tuberculosis Programs around Washington State and facilitates connections among network partners.


Link/share our site at www.kingcounty.gov/tb