About Practiclear
Built by someone who's actually had to file these letters.
Practiclear exists because the standard path — urgent care, a PPD, 48-hour return visit, a single-page printout that the school health office may or may not accept — is broken in small ways that add up to patients giving up on screening entirely.
The story
I'm Andrew Overbey. I'm a Family and Emergency Nurse Practitioner practicing in Virginia, with regional hospital and emergency- department experience and PRN shifts in urgent care. I'm also a PhD student at the VCU School of Nursing studying healthcare quality, and I have an MBA — meaning I've spent the last several years looking at exactly the kind of broken process this site is designed to fix.
Every nursing school clinical season, I watch the same sequence play out: a student walks into urgent care because their program asked for TB screening documentation, gets a PPD, is told to come back in 48 to 72 hours, and then either misses the reading window because of class or work, or comes back and gets a single-page result that their program rejects because it doesn't have the right pieces of information on it. They're told to do it over. Sometimes they pay twice.
I'd watch the same students try to dig up MMR or Varicella records from a pediatrician's office that closed in 2014, get nowhere, and give up — eventually showing up at urgent care a third time asking for titers, where the wait is 90 minutes and the bill is $400. Healthcare workers go through their own version: the new-hire HR packet, the missing Hep B titer, the appointment they can't get because their clinic only does occupational health on Tuesday mornings.
None of this is medically hard. The labs are routine. The interpretation is well-defined. The reason the existing path fails isn't clinical — it's logistical. So I built the logistics-first version: when ordering is available, complete the flow online, use Labcorp in Virginia when the reviewed request supports a requisition, and receive a signed documentation letter your school or employer can review. Same screening lab pathway, plus the signed letter.
Why a documentation letter, specifically?
A lab printout is not the same as a clinician-signed documentation letter. The letter documents the reviewed result, the lab, the date, and the relevant screening context when the result supports it. That's what schools, hospital occupational health offices, and HR departments are often asking for when they say "TB clearance": a screening result plus clinician-signed documentation, not a broad work-readiness determination. Acceptance remains with the receiving institution.
Why direct-pay, no insurance?
Insurance billing for routine screening documentation tends to produce the worst experience for patients and clinics: prior authorizations, surprise bills, claims denials months later, and paperwork on both ends. Direct-pay pricing posted upfront removes that friction. You know the price before you click. There is no surprise bill.
What's next
We're starting in Virginia because that's where the provider is licensed. The plan is to expand to additional states once the workflow is dialed in, beginning with the states that send the most students to Virginia clinical programs. If your school or employer has screening-documentation needs at scale, we'd like to hear from you — there's a B2B path on the way for nursing programs and healthcare employers specifically.