Quick answer

Rotation sites set the real rules: current TB (often within 12 months), complete titer panel, flu vaccine in season, sometimes drug screens and background checks. One compliant file satisfies most sites — build it once, reuse everywhere.

Who this covers

The universal file

Assemble once: IGRA or two-step PPD dated <12 months, MMR/varicella/hep-B titers showing immunity, Tdap <10 years, seasonal flu. Upload-ready PDFs save semesters of friction.

Expiration traps

Flu shots expire every June 30 in most systems; TB cycles vary 12 months vs annual-symptom-only. Calendar your renewals or rotation offers stall.

Expedited paths

Direct-access labs turn around titers in 24–72 hours and IGRAs similarly — same-week compliance rescue is genuinely possible when deadlines sneak up.

Order the required tests

Direct-access laboratory testing — no doctor visit needed. Results arrive as forwardable PDFs that satisfy most compliance offices.

We may earn a commission when you order through partner links. This guide is educational and never replaces advice from your program office, employer, or healthcare provider.

Related guides

Frequently asked questions

No frequently asked questions yet for this guide.

Browse more guides