The completed file - not the pieces.
See the signed document that goes in the personnel file, the supporting laboratory result and the information your reviewer can verify.
The certificate your personnel file needs.
This is a synthetic specimen - not a real caregiver, provider or result. The certificate is the document your personnel file needs. The laboratory result supports it; a lab result on its own is not the certificate.

- 1Attestation
States the aide was examined and found free from active tuberculosis disease. - 2Signature and licence
Shows who reviewed and signed the certificate. - 3Test and result
Identifies the QuantiFERON test and the reported result. - 4Renewal date
Records the next two-year examination date for this specimen. - 5Retention note
Confirms the home care organization keeps the certificate on file. - 6How to verify it
Points the reviewer to the laboratory CLIA number and California licence lookup. Who signs and how decisions are made.
What this pilot covers
This specimen shows the physician-signed TB certificate and supporting Quest laboratory result delivered in the pilot.
Keeping files current
ClearToStart can also track TB renewal dates, prompt caregivers before documents are due, and coordinate other agency-selected onboarding items. Your team can use the status dashboard to see what is complete, what is due and who needs a reminder. Additional services are scoped separately.
Due dates and file status
Caregiver instructions and reminders
Updated records returned

The signed assessment report and its supporting result.
This is a synthetic specimen - not a real worker, provider or result. The signed report records fitness for assigned duties, absence of infectious signs or symptoms, TB screening and the practitioner who performed the assessment.

- 1Required assessment statements
Fitness for duties, infectious-disease status, TB screening and practitioner completion. - 2Signature and licence
Shows who performed, evaluated and signed the assessment. - 3Test and result
Identifies the QuantiFERON test and the reported result. - 4Annual screening date
Records the next annual TB screening date for this specimen. - 5Retention note
States the agency retains the employee health record after employment ends. - 6How to verify it
Points the reviewer to the laboratory CLIA number and California licence lookup. Who signs and how decisions are made.
What this pilot covers
This specimen shows the signed health assessment, TB screening and supporting Quest laboratory result delivered in the pilot.
More support when you need it
ClearToStart can also support the employer's OSHA hepatitis B vaccination and declination workflow for covered employees, coordinate vaccination appointments, collect flu-shot records and track renewal dates. Where employer or insurance coverage is available, we help workers use the appropriate option. Your team can use the status dashboard to see what is complete, what is due and who needs a reminder. Additional services are scoped separately.
Records, due dates and file status
Worker instructions and reminders
Updated records returned

The file arrives in the dashboard, not as loose paperwork.
Multiple authorized agency users receive an email notification and sign in to view and download the result and paperwork signed by a California doctor. The documents, status and next testing date remain stored together.
Send the worker a link or QR code.
See status and testing dates.
Automatically remind and engage workers.
