TOXICOLOGY – Your toxicology must be completed prior to your Physical Exam. HISTORY & PHYSICAL (fasting is not required). SKIN TEST FOR TUBERCULOSIS (chest x-ray if indicated) Employee Health will accept documentation of a negative PPD test (Must submit during physical exam). Two- step PPD skin test is required. a. within the past three months b. within the past twelve months Quantiferon gold – only if clinically indicated (see below) If you have a history of a positive PPD or BCG, you will need to have quantiferon gold testing and if clinically indicated, a chest xray (PA/Lateral). MANDATORY VACCINATIONS a. Tdap (Tetanus, Diptheria and Pertussis) – You must show documentation of TDap within the past 10 years. b. Flu – If hired outside of the flu season, must show documentation of receipt from prior season. IMMUNIZATION STATUS Employee Health will accept immunization records or titer for the following a. Measles, Mumps and Rubella – Two MMR vaccines OR Measles, Mumps and Rubella titers b. Varicella – Two Varicella vaccines OR a Varicella titer c. Hepatitis B screening (if contact with patients)