15-minute walkthrough
For California home care organizations onboarding caregivers who need new TB paperwork

One caregiver.One Quest appointment.We handle the rest.

For a caregiver who needs new TB paperwork, ClearToStart makes the TB step one-and-done. The caregiver completes one Quest appointment for a QuantiFERON TB blood test ordered by a California doctor. When the required intake is complete and the TB result is negative, the Quest result and doctor-signed TB certificate arrive together in your dashboard within 48 hours of the Quest visit.

Worker pays $0. No completed clearance file, no $99 invoice.

See how it works

One referralOne Quest appointmentOne completed TB file
Completed TB file
for one caregiver
Delivered
Your agency receives
Physician-signed TB certificate
Quest laboratory result
One secure, finished TB file
$99 only when the completed file is delivered
One Quest appointment
File ready within 48 hours when the TB result is negative
Worker pays $0
Signed file in the secure dashboard
How it works

From referral to finished file, in five steps

1Your agency

Your agency refers one caregiver

2ClearToStart

We send the caregiver the instructions

3The caregiver

The caregiver completes one Quest appointment

4ClearToStart

We track the result and get the paperwork completed and signed

ClearToStart → you

We place the result and signed certificate in your dashboard

For your caregiver

Easy on the caregiver, by design.

One appointment, nearby

The caregiver picks the Quest location and time that work for them.

Plain-language instructions

Every step is spelled out — where to go and what happens next.

A real person to reach

The caregiver's instructions include a direct support contact for questions.

The TB test, in plain English

A one-and-done TB blood test

QuantiFERON is completed in one Quest appointment. No second trip just to have a skin test read.

TB skin test — two visits
One to place it, a second just to read it.
QuantiFERON — one appointment
One Quest appointment. We handle the rest.
Why agencies pay for the finished file

The laboratory result is only one piece.

A caregiver may already know where to get a TB test. But a laboratory result is not the physician-signed certificate your agency keeps in the personnel file. ClearToStart has the California ordering physician review the result and sign the certificate, records the next testing date, and delivers both documents together in one secure file.

One finished TB file containing
✓ California physician-signed TB certificate
✓ Supporting Quest laboratory result
✓ Next testing date
What we take off your plate

One referral in. One finished file back.

ClearToStart sends the caregiver instructions, tracks the Quest result, gets the California ordering physician sign-off, and places the completed file in the secure dashboard.

We handle
Caregiver instructions
Quest-result tracking
Physician completion and signature
Status follow-up through file delivery
Your agency receives
California physician-signed TB certificate
Supporting Quest laboratory result
Next testing date
Everything safely stored in one place

One secure dashboard for the whole process.

Your agency can give access to multiple authorized users. When the completed TB file is ready, users receive an email notification and sign in to view and download the Quest result and paperwork signed by a California doctor. The clinical result stays inside the dashboard - no loose paperwork moving between inboxes.

Register

Create a registration link or QR code and send it directly to the caregiver.

Track

See which files are complete, which caregivers are waiting, and each caregiver's next testing date.

Prompt

ClearToStart sends the caregiver the next step and follows up before updated testing is due.

Keep files current

The dashboard keeps the next testing date beside the file and can automatically remind and engage caregivers before an update is due. Ongoing renewal management is activated after the pilot.

The dashboard operates under VitalCheck's HIPAA compliance program and SOC 2 Type II-examined security controls.

A VitalCheck Wellness serviceSOC 2 Type II examination completedHIPAA compliance programYour agency makes the final acceptance decision
Before you refer anyone

Request a 15-minute walkthrough

We'll walk your current process, the caregiver steps and the finished file — and answer document, privacy and workflow questions. No prep needed, and nothing is referred until you say so.

Rather start straight away? Try it with one caregiver — $99

Request your walkthrough

Enter your details and we'll reply with a few times that work.

The one-caregiver pilot

Try it with one caregiver — $99

The pilot covers a QuantiFERON TB blood test ordered by a California doctor, one Quest collection, doctor review and signature, and dashboard delivery. The worker pays $0. We issue the $99 invoice only after the completed file signed by a California doctor is in your dashboard.

No completed clearance file, no $99 invoice.

Licensed providers make clinical decisions. Your agency decides whether to accept the file and hire the worker.

Read the one-worker pilot service description

Prefer to talk it through first? Request the 15-minute walkthrough.

Start with one caregiver

Enter your agency details and we'll send the one-page setup for your first referral. The setup shows how workers register, who can use the dashboard, when the signed file is ready, and when we send the $99 invoice.

Questions

Frequently asked questions

What does the caregiver have to do?
The caregiver completes a short online intake and one Quest appointment for a QuantiFERON TB blood test ordered by a California doctor.
What is QuantiFERON?
A TB blood test completed in one Quest appointment. No second trip just to have a skin test read.
How fast is the file ready?
When the required intake is complete and the result is negative, the Quest result and TB certificate signed by a California doctor are placed in the dashboard together within 48 hours of the Quest visit.
Why pay $99 if the caregiver can bring a lab result?
A laboratory result is only one piece. ClearToStart has the California ordering physician review the result and sign the TB certificate your agency keeps, records the next testing date and delivers the certificate and supporting result together.
What does the agency receive?
One secure, finished TB file containing the California physician-signed TB certificate, supporting Quest laboratory result and next testing date. A synthetic specimen is available at https://www.cleartostart.com/what-you-receive?lane=hco#specimen.
Does the caregiver need a separate physician appointment?
Most workers do not need a separate video or office visit with the doctor. The California physician who orders the QuantiFERON test reviews the intake and result and signs the certificate. If more information is needed, ClearToStart contacts the caregiver.
Who signs the paperwork?
A California-licensed physician reviews the Quest laboratory result and the worker's health form, then signs. The clinical program is led by Dr. Pavani Gunda, Global Chief Medical Officer.How clinical decisions are made
How is the file delivered?
Multiple authorized agency users receive an email notification and sign in to the ClearToStart dashboard to view and download the result and signed certificate. The clinical result is not placed in the email.
When is the agency billed?
The worker pays $0. ClearToStart issues the $99 invoice only after the completed file signed by a California doctor is in the dashboard. If an agreed pilot document is missing, ClearToStart corrects the file before invoicing.
What happens if the result is positive?
ClearToStart contacts the worker, explains the next steps and arranges the required chest X-ray. We first look for a convenient free public-health resource. If paid imaging is needed, the agency is told about the cost before scheduling.
Can the dashboard help with renewals?
Yes. The dashboard records testing dates and can automatically remind and engage caregivers when updated testing is due. Ongoing renewal management is activated after the pilot.How renewals and reminders work
Does the agency retain the final decision?
Yes. Licensed providers make clinical decisions. Your agency decides whether to accept the file and hire the worker.
Does the agency have to replace its current process?
No. Keep your current process and evaluate ClearToStart with one caregiver.
Who is behind ClearToStart?
ClearToStart is operated by VitalCheck Wellness. VitalCheck has delivered employer health programs since 2015.
Where does the caregiver go?
The caregiver selects a Quest patient service center that works for them. The instructions explain how to schedule.

One caregiver. One Quest appointment. We handle the rest.

Completed paperwork or no $99 charge.