Physical exam within 12 months of start (not required annually)
Negative TSpot or QuantiFERON Gold TB test within 90 days of start (PPD not accepted), updated annually
Tdap required
Measles, mumps, and rubella: positive titers or documentation of 2 MMR vaccines
Varicella: positive titers or documentation of 2 vaccines
Hepatitis B: both vaccine series and positive titer, or a signed facility declination form
10-panel drug test within 30 days of start (rapid screens not accepted, not required annually)
Flu vaccination or facility-approved exemption required during flu season (October 1 to March 31); 2026-27 deadline is 11/15
Fit test completed onsite during orientation and updated annually (a fit test may be completed before start)
Badge photo required (passport-style, head and shoulders, clear background preferred)