Employment Candidates

Pre-placement physical

Pre-placement physicals must be completed within 2 weeks of the date of acceptance of your job offer. In some cases, getting cleared to begin work can take several days. Be sure to allow plenty of time before your start date for your employee health screening.

Please note you will be unable to start work until you have been cleared through Occupational Medicine clinical staff.

What to bring to your health screening

  • A valid photo ID, such as a driver’s license, passport, or military identification
  • Your completed pre-placement health screening questionnaire, obtained from your Human Resources contact or from the scheduling secretary in Occupational Medicine
  • Copies of all of your immunization records. You can obtain them from your health care provider’s office, High School, or College health services. This includes the seasonal influenza vaccine.
  • Results from any previous tuberculosis skin tests or blood tests (IGRA’s) you may have had. If you have tested positive for tuberculosis before being hired by Dartmouth Hitchcock Medical Center and Dartmouth Hitchcock Clinics, you must bring documents that show mm of induration, documentation of your most recent chest X-ray, and what treatment was offered and accepted.
  • Glasses, contact lenses, and hearing aids if used.

What you can expect during the screening

  • A urine drug screen. Wear comfortable, loose fitting clothing to your appointment, and drink plenty of water prior to your appointment.
  • A discussion of the services provided by Occupational and Environmental Medicine
  • An update of any missing required immunizations and titers, and tuberculosis skin testing (not performed if employee had a previous position reaction). Immunization requirements are as follows:
    • Measles, Mumps and Rubella (MMR): Documentation includes: (1) laboratory evidence of measles, mumps and rubella immunity, or (2) documentation of having received 1 MMR (2 if born in 1957 or later).
    • Varicella: Documentation includes: (1) two doses of varicella vaccine or one dose of shingles vaccine; (2) documentation from a health care provider of varicella or shingles diagnosis; or (3) laboratory evidence of immunity.
    • Tetanus/Diphtheria/Pertussis (Td/Tdap): All employees, regardless of age, must provide documentation of Tdap, or receive a single dose of Tdap as soon as feasible if they have not previously received Tdap, regardless of the time since the last Td dose.
    • Hepatitis B: Health care workers must show documentation of: (1) having received the 3-dose series; or (2) documentation of a positive HepBsAB; or (3) documentation of a signed declination.
    • Tuberculosis (TB) testing
    • Annual influenza (flu)

Contact us

Call us at 603-653-3850 to schedule an employee health screening as soon as you receive your offer letter.

Additional useful resources


We offer a total compensation package that includes of a variety of benefits. You also have the option to select extra benefits to meet your situation and needs.

Learn about benefits.

Employee wellness programs

A dedicated team of Health Coaches provide robust programming to enhance our lifestyle and well-being.

Learn about employee wellness.

Employee Assistance Program (EAP)

The Employee Assistance Program (EAP) supports free and fully confidential, face-to-face services to support staff and their immediate family members.

Learn about the EAP.

Employee primary care

This practice is an option for Dartmouth Hitchcock Medical Center and Dartmouth Hitchcock Clinics insured employees and their dependents. If you want to become a member of Live Well/Work Well Primary Care, please call 603-650-3640.

Learn about employee primary care