Quick answer

Matriculation health packets typically demand: two-step TB or IGRA, MMR/varicella/hep-B titers, Tdap, meningococcal, flu, plus a physical exam. Clinical-year additions include N95 fit-testing and sometimes drug screening.

Who this covers

Pre-matriculation stack

Schools publish compliance checklists due orientation week. Titers dominate because rotation sites demand proof-of-immunity documentation regardless of vaccination history.

Third-year escalation

Core clerkships add site-specific items — some systems require annual TB re-checks, others symptom attestations. Respirator fit-testing arrives with airborne-precaution rotations.

Residency onboarding preview

Match season brings ANOTHER round: GME onboarding mirrors employment clearance including drug screens at many programs. Keep every PDF organized from year one.

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.

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Frequently asked questions

Do med schools drug screen?

Many now do — both at matriculation and before clinical years, driven by rotation-site contracts. Prescription disclosure processes exist for legitimate medications; honesty protects enrollment far better than concealment.

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