Patient Discharge form

Within the grant, issued through the STbCU project to the Ukrainian Red Cross, USAID STbCU published and disseminated to the pilot regions a Patient Disharge form. Except a regular form, which is aproved by the Ministry of health of Ukraine, there is a special annex – perforated sheet with Notes for Patients.

From these Notes a patient will get to know why after the intensive phase of TB treatment s/he should continue taking TB drugs under direct supervision, how ss the DOT principle functioning, how to avoid side effects and what are the fundamental principles of infection control to be followed to protect surrounding people from TB.

You are welcome to use this discharge form for your patients (the fom is in Ukrainian). Please, follow this link to download the document for printing:Форма-виписки-2015_03_18.pdf