Please download SVMC - RA Program Immunization Requirements

• have your health care provider complete this form

Please be sure your health care provider knows that:

• either Varicella titer or documentation of a vaccination series is required
  
• a history of chickenpox is not sufficient
• PPD test for tuberculosis must be within the last 12 months

for Hepatitis B, there are three (3) options

1. Hepatitis B vaccination series is complete and a Hepatitis B surface antigen demonstrates a response or 
2. Hepatitis B vaccination series is in progress or
3. Hepatitis B vaccination declination form

 

 

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When you go for your drug testing,                                                                        please bring a copy of your completed SVMC - RA Program Immunization Requirements to one of St. Vincent's Immediate Health Care Centers for your health assessment and drug testing.

 

Do not send these records to the RA Program