Your agency invited you
You may not need a new TB test.
Open the sign-up link from your agency or employer. Answer the health questions and give permission for us to request your records.
We look for your past TB records first, and a California-licensed doctor checks them. If the doctor can clear you from those records, you don’t need a new test.
What happens
Four steps to your TB file.
Open your agency’s link.
Check your agency’s name and the prices. Give us permission to ask for your records, then fill in the short health form. It asks four short questions: symptoms, TB exposure, past positive tests or treatment, and conditions or medicines that affect your immune system. Sign-up takes about two minutes. You can sign up in English, Spanish and other languages.
Reserve a Quest appointment.
Pick a Quest time while you sign up, in case you need a test. If the doctor clears you from your records, we cancel it and tell you not to go.
Had a positive TB test before? Tell us, so the doctor can look at your history and plan the next step.
Follow your next step.
If your records are enough, we cancel Quest and tell you. If not, we tell you which appointment or follow-up comes next.
Keep your appointment unless we say otherwise.
Your signed TB file goes to your agency.
The signed TB certificate and the test result go to your agency’s secure dashboard. You don’t have to carry papers from one office to another.
Who pays? Your sign-up page tells you.
If your agency pays
You pay $0 for the ClearToStart TB service. Your agency gets the bill.
If you pay
You see both prices before you add a card. You pay one price, not both. We charge you only after the doctor signs — even if you needed follow-up after a positive test. No signed certificate, no charge.
Which price applies to me?
Use the link your agency sent you. Your sign-up page shows your price and who pays before you continue.
If you need a new test.
What happens at Quest?
One blood draw. You don’t have to come back to have a skin test read.
Bring your photo ID and your appointment details. Use the ClearToStart test order.
The test is included in your program’s new-test price.
While we check your records: Keep your Quest appointment unless we tell you it is canceled. Booking alone does not order a test or trigger a charge. If records support clearance, we cancel the appointment and notify you.
Will I need a separate doctor’s appointment?
Most people don’t. The doctor reviews your records, your test result and your health questionnaire.
If you need a call, a visit or more information, we tell you the next step.
What if the test is positive?
We coordinate your X-ray appointment and follow-up. Once the doctor confirms clearance, your signed TB certificate is ready.
ClearToStart does not cover the cost of the X-ray or other outside care. Check with the outside provider about payment or insurance coverage.
An unclear result may need another test.
When will my TB certificate be ready?
- Lab records may allow same-day clearance.
- Clinic records usually take two to three days to retrieve.
- New blood-test results take about 48 hours.
The doctor reviews the information before signing. Missing records or follow-up can add time.
Caregiver-paid agencies may send this note with the link:
“Start your TB clearance here: [your agency link]. ClearToStart checks past records first. You may not need a new test. See prices upfront. Pay only after your TB certificate is signed.”
Your health form stays with the clinical team.
Your agency can see your progress. With your permission, it gets the signed TB certificate and the test result. Your health form answers and any other records stay with the clinical team.
Download your documents from the secure dashboard. Our emails never include your results.
Invited for a home health assessment or another employer program? Follow the instructions for that program. It may ask for more than TB clearance.
Need help with your invitation or appointment? Use the contact in your ClearToStart instructions. Can’t find it? Call (415) 944-4445 or email customer-support@vitalcheckwellness.com.
Please don’t send medical records or health form answers through a public website form.