Local Task Menu - Add a Page link
So, it took a while to figure what I needed was to add a custom local task navigation tab. To handle adding local task you need to learn the hook_menu() function, right after you learn to build your first hello world module. P.S. having the Test 1 and 2 menu items is what tells Drupal to create the outcomes tab.

/**
* Implementation of hook_menu().
*/
function outcomes_menu() {
  $items['node/%node/outcomes'] = array(
        'title' =&gt; 'Outcomes',
        'type' =&gt; MENU_LOCAL_TASK,
        'access arguments' =&gt; array('access content'),
  );
  $items['node/%node/outcomes/test1'] = array(
        'title' =&gt; 'Outcomes Test1',
        'type' =&gt; MENU_LOCAL_TASK,
        'access arguments' =&gt; array('access content'),
        'page callback' =&gt; 'drupal_get_form',
        'page arguments'=&gt;array('drupalform_form1')
  );
  $items['node/%node/outcomes/test2'] = array(
        'title' =&gt; 'Outcomes Test2',
        'type' =&gt; MENU_LOCAL_TASK,
        'access arguments' =&gt; array('access content'),
        'page callback' =&gt; 'drupal_get_form',
        'page arguments'=&gt;array('drupalform_form1')
  );

  return $items;
}


Hopefully, this helps someone else.