Employment Candidates

Pre-placement screening

Urine drug screenings must be completed within 30 days of acceptance of offer and pre-placement screenings need to be completed no earlier than 60 days or later than 2 weeks prior to your orientation date. 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 the 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:
    • Annual influenza (flu)
    • COVID series
    • 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.
    • Measles, Mumps and Rubella (MMR): Documentation includes:
      1. Laboratory evidence of measles, mumps, and rubella immunity, or
      2. Documentation of having received 2 MMR OR 2 MMRV vaccines OR any combination of the two, or
      3. Laboratory confirmation of disease
    • 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.
    • Tuberculosis (TB) testing
    • 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.

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.

Lifestyle Improvement Program

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

Learn about the Lifestyle Improvement Program.

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 (DHMC) and Dartmouth Hitchcock Clinics insured employees and their dependents. DHMC and Dartmouth Hitchcock Clinics employees also have access to Employee Express Care, which provides care for sudden illnesses like cough or cold symptoms or sinus infections. 

To find primary care providers in your area, use Find a Provider, or call 603-653-3211.

Learn about Employee Express Care.