Path 1
I have my vaccine records.
Annual TB screening, still required even if last year was negative. Single-draw QuantiFERON. No PPD return visit.
For Virginia clinical-rotation students
Your program asked for titers or a TB test.
Pick the path that matches you. NP review, lab order, and a clinician-signed letter — in one direct-pay flow.
Two student paths
Which one are you?
Path 2
I lost my vaccine records.
Bundled titers (MMR + Varicella + Hep B + TB) in one Virginia draw. Clinician-signed letter for every immune result.
How clinical review happens
What does Practiclear do before any lab is ordered?
Confirm fit
Virginia location, adult status, selected service, and basic fit are confirmed first.
NP clinical review
A Virginia nurse practitioner reviews the request before any screening lab order is placed.
Results & documentation
Results are reviewed after they return. Clinician-signed documentation is prepared only when reviewed evidence supports it.
Services
What you can order
TB Screening Documentation
QuantiFERON-TB Gold Plus
Review-supported TB blood test documentation — no return visit, no PPD reading.
Core Screening Panel
TB + MMR + Varicella + Hep B Surface Antibody
The full bundle for students who can't find their vaccination records.
- QuantiFERON-TB Gold Plus
- MMR Immunity Profile (measles, mumps, rubella)
- Varicella IgG
- Hepatitis B Surface Antibody
MMR Immunity
MMR Immunity Profile (Measles, Mumps, Rubella IgG)
Three antibody titers to document immunity when records are missing.
Varicella Immunity
Varicella-Zoster IgG
Document chickenpox immunity by lab when records aren't available.
Hep B Immunity
Hepatitis B Surface Antibody (Anti-HBs)
Antibody titer to document Hep B vaccine response for school or work requirements.
Screening Documentation Review
Records Review & Documentation Letter
Records review is being prepared as a separate secure upload workflow. Contact Practiclear if you already have records you need reviewed.
Not the right path
For urgent symptoms, see in-person care.
Practiclear isn't emergency, urgent, or primary care. Abnormal or indeterminate results route to follow-up guidance.
Updated 2026-05-29