Employment Candidates

Pre-placement screening

As part of our commitment to a safe and productive work environment, we conduct pre-employment drug screenings for all new hires. Please note that all employment offers are contingent upon successfully completing this screening.

By applying for a position with Dartmouth Hitchcock Medical Center or Dartmouth Hitchcock Clinics, you acknowledge that, if offered a role, you will be required to undergo a drug screening test as part of the post-offer process. The results of this test will be kept confidential and used solely to determine eligibility for employment in accordance with company policies and applicable laws.

If you have any questions or require further information, please reach out to our Human Resources team at dhtalent@hitchcock.org.

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 2 MMR vaccines, OR
    3. Laboratory confirmation of disease, OR 
    4. Born before 1957.
  • Varicella: Documentation includes: 
    1. Two doses of varicella vaccine, OR 
    2. Laboratory evidence of immunity, OR 
    3. Medical documentation from a healthcare provider verifying the history of varicella (Chicken Pox) or herpes zoster (Shingles).
  • Tetanus/Diphtheria/Pertussis (Tdap): Regardless of age, provide documentation of 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: Provide one of the following: Documentation of having received the 3-dose series, or 2-dose Heplisav-B series and documentation of a positive HepBsAB. If unable to provide this documentation, the employee must restart the Hep B series; OR documentation of a signed declination.
  • Tuberculosis (TB) Testing: Provide documentation of previous TB screening which includes Proof of PPD (tuberculosis screen) 2 tests - within 1 year, 1 within 6 months of start, OR an IGRA-test in the last six months, and have had no potential exposure to TB since last screening. If testing results are positive, the non-employee shall undergo an immediate symptom screen and chest X-ray to rule out active tuberculosis disease.
  • New non-employees with confirmed LTBI in the past will have an immediate symptom screen and must provide documentation of a chest radiograph interpretation obtained subsequent to diagnosis or submit a chest radiograph confirming the absence of active disease.
  • Seasonal Influenza (flu)
  • COVID-19: While immunization for Covid-19 is not a requirement, it is highly encouraged. Please feel free to send documentation showing an up-to-date status.

Contact us

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

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