Tuberculosis Control Program

Contact Information
Los Angeles County
Department of Public Health
Tuberculosis Control Program
2615 S. Grand Avenue, Room 507
Los Angeles, CA 90007
Phone: (213) 745-0800
Fax: (213) 749-0926


Adobe Reader
Note: PDF documents on this site were created using Adobe Acrobat 5.0 or later. If you are using an earlier version of Adobe Acrobat Reader (4.x or less), document functionality may be reduced. Please Click Here

TB Screening

New (2016) TB Risk Assessment: (For providers considering screening adults not seeking TB testing as a requirement for work or school)

Tuberculosis (TB) Screening Requirements for Public, Private, Parochial K-12 and Nursery School Employees, Volunteers, and Contractors

Assembly bill (AB) 1667 was recently enacted and became effective on January 1, 2015. It replaced universal tuberculosis (TB) testing with a TB risk assessment questionnaire therefore updating California law to reflect current federal Centers for Disease Control and Prevention (CDC) targeted testing recommendations.

The new law requires a pre-K and K-12 TB Risk Assessment Questionnaire and Certificate of Completion form, developed by the California Department of Public Health (CDPH) and California TB Controllers Association (CTCA), to be used; this form is included below. Under this new law, TB testing will be based on the results of the TB risk assessment.

If risk factors are identified, the provisions of the bill would then require TB screening/testing (Tuberculin Skin Test [TST] or interferon gamma-release assay [IGRA] blood test). Anyone with a positive screening test must undergo an examination by a licensed MD or NP to determine that the person is free of infectious tuberculosis.

TB Screening for School Entry

Universal TB screening and risk-based testing was incorporated into the CA State physical examination requirement for children entering first grade in Los Angeles County in July 2012. Health providers should screen students using the pediatric risk assessment questionnaire below and test them for TB only if a risk factor is present and document this on the PM 171.

 Report of Health Examination for School Entry (PM 171)

Risk Assessment Questionnaire
Chinese |  Spanish | Tagalog  |  Vietnamese

AAP Periodicity Schedule (rev. 2014)
Report TB - fillable forms
CRM report


Multi-Drug Resistance TB Disease: Diagnosis and Management
August 5th

Home  |
Tuberculosis Control Program
Public Health
LA County
  Careers  |   DPH Programs  |   Email: Webmaster  | Notice of Privacy Practices | 
  Website Privacy Policy  |   Language  |   Accessibility  |   Disclaimer |   Employee  |
Admin Use
Outlook E-mail
DPH Intranet (At Work)
Public Health has made reasonable efforts to provide accurate translation. However, no computerized translation is perfect and is not intended to replace traditional translation methods. If questions arise concerning the accuracy of the information, please refer to the English edition of the website, which is the official version.
Los Angeles County Seal: Enriching lives through effective and caring services