Mycobacterial Consultation

The Mycobacterial Consult Service at National Jewish Health helps practitioners manage drug-resistant tuberculosis and other refractory mycobacterial and respiratory infections.

We cannot do emergent consults. Please complete the form below, and  we will do our best to respond within 14 days. Our physicians donate their time for this free service.

For general referrals and consults, complete the Physician Consultation Request or Physician Referral form.

Other resources: Refer a patient | Order a test | Radiology Consult

Provider Information

What questions do you want answered?

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Type of Consult

Consultation only Refer a patient for evaluation at National Jewish Health

Provider First Name

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Provider Last Name

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Provider Phone Number

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Provider Fax Number

 

If out of the United States, International Phone or Fax Number

Provider Email Address

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Patient Information

Patient First Name

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Patient Last Name

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Patient Phone Number

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Patient Date of Birth

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Patient Age

 

Patient Gender

Female
Male
Transgender

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DX and brief history

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Current medications used

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Previous medications used

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X-ray/CT scan findings

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Microbiology & Other lab data

Other pertinent info/concerns