TB clearance for California home care agencies

TB clearance that starts with the records,
not another test.

Send one link, as you would for a background check. We find the caregiver’s prior TB records, a California-licensed physician reviews them, and the signed certificate lands in your dashboard — a Quest blood test only if needed.

Get your caregiver sign-up link within one business day.

Caregiver-paid.
Your agency pays $0.

First caregiver:

$0 with clearance from existing records, or $69 with a new Quest blood test.

One designated caregiver per new agency.See all prices

Example tuberculosis examination certificate

physician signature

Example tuberculosis examination certificate
Clear to StartReady in your dashboard
Illustrative example
Example tuberculosis examination certificate

physician signature

Example tuberculosis examination certificate
Clear to StartReady in your dashboard
Illustrative example

Get your caregiver sign-up link within one business day.

A VitalCheck Wellness serviceEmployer health programs since 2015Verify ClearToStart

How it works

Get your link. Share it. Track clearance.

  1. Get your agency’s link.

    Share your agency details. We send your caregiver sign-up link and QR code within one business day.

  2. Text or email it to your caregiver.

    They open the link, answer a short health questionnaire and give permission for us to request their records.

  3. We check records first.

    We request records and arrange testing when needed. After physician clearance, your agency downloads the signed TB certificate and supporting result.

If a test is needed

One blood draw. No return visit for a reading.

QuantiFERON-TB Gold Plus at Quest

Why a skin test can mean extra follow-up

A past TB vaccine can make a skin test look positive even without TB infection. That can lead to follow-up, including a chest X-ray.

How the blood test helps

The blood test is not affected by that vaccine. With a negative result and no clinical concerns, clearance can proceed without a routine chest X-ray.

Positive results or clinical concerns still need follow-up.

An indeterminate result may need another test. Your clinical team explains and coordinates the next step.

What you receive

Track progress. Download the signed file.

Your TB clearance dashboard
Illustrative example
Prior TB result located
Records found
One Quest visit booked
Action needed
Cleared from records. No new test.
Clear to Start

Signed TB certificate + supporting result.

Covers TB clearance. Other hiring requirements still apply.

Pricing

Start with one caregiver.

Caregiver-paid.
Your agency pays $0.

Clearance pathFirst caregiverAdditional caregivers
Clearance from existing records$0$45
New Quest blood test$69$99

$45 records rate through March 20, 2027. Later rates are not listed here.

  • Includes records search, physician review and your signed TB certificate.
  • One introductory caregiver per new agency. No contract.
  • Caregivers see prices upfront.
  • The caregiver pays only after the physician signs.
  • Outside follow-up costs are separate.

Start

Get a sign-up link to share with your caregiver.

We’ll send your agency’s link within one business day.

Caregiver-paid.
Your agency pays $0.

Need help? Call or text (415) 944-4445.

Requesting your link does not start a test or trigger a charge.