Vaccines & Screening

Questions? Contact Occupational Health Services

Overview

OHS offers essential & required vaccines, health screenings and medical surveillance.

Immunization and other records

COVID-19

If you received your COVID vaccination(s) in California, obtain a copy of the record here.

You also can visit an Occupational Health drop-in location during regular business hours.

Other records

To obtain a copy of your immunization record, please complete and sign this form.

If you have an active UCSF email address, we can email your immunization record to you. Otherwise, please include a fax number or mailing address, along with a legible phone number in case we need to contact you.

If you would like to obtain a record of your Workers' Comp visits, please visit UCSF Medical Records.

Screening and testing

COVID-19 testing

  • Testing will continue to be offered in UCSF Health clinics and at many locations in the community.
  • Occupational Health will maintain supplies of antigen tests available to faculty, staff and learners.
  • If you need testing guidance for COVID symptoms, exposure, or return to work following COVID infection, visit the Digital Screener or call the COVID Hotline (415-514-7328) for more information.
  • If you have any issues obtaining rapid antigen tests for return to work or school, check with Occupational Health Services.
  • BCH Oakland employees should email Employee Health or call 510-428-3620, Option 4.

Tuberculosis screening

UCSF Occupational Health Services has implemented the TB Flex Program for employees working in UCSF Health and BCH-Oakland. Program requirements vary slightly based on your work location.   A baseline TB test or evidence of a positive PPD or a documented history of tuberculosis and treatment is required for both TB Flex Programs. Note: If an employee is 100% remote, managers can exempt the employee by clicking on the red due flag in HR Umbrella. 

UCSF Health TB Flex Program

All UCSF Health employees must take the annual TB symptom screening questionnaire on the OHS Portal (VPN/MyAccess required from a UCSF computer). Employees without MyAccess who need assistance filing their annual questionnaire may come to OHS locations during drop-in hours for completion.  

Staff identified by OHS as working in high-risk areas or roles and as having a negative TB skin test (PPD) the previous year will be required to complete both the annual TB symptom screening questionnaire AND an annual TB skin test (PPD). 

BCH Oakland TB Flex Program

BCH Oakland employees are required to do a PPD skin test every four years in addition to completing the annual TB screening questionnaire on the OHS Portal each year. BCH employees working in a high-risk department are required to do an annual PPD skin test. 

Who is considered high risk?

UCSF requires baseline and annual tuberculosis skin testing for all occupational groups that meet the definitions of Risk Category I and II defined in the UCSF Communicable Disease Surveillance and Vaccination Policy and have contact with patients or human subjects through their work or research in the UCSF Medical Center and Ambulatory Care Clinic practices. Newly hired Medical Center employees must complete the TB screening process prior to their start of employment date.  

Personnel who have tested positive in the past are required to have one baseline chest X-ray and thereafter complete an annual symptom review by dropping by one of our drop-in clinic locations during business hours. Chest X-rays will not be performed annually, but only if indicated based on the clinical presentation. At any time, if any employee has symptoms of TB (persistent cough, low grade fevers, unexplained weight loss, night sweats) further evaluation must be done. Please consult Occupational Health Services. 

Occupational Health Services also provides pre-placement TB skin testing for new UCSF employees at Zuckerberg San Francisco General. 

OHS: New Hires - TB Screening

UCSF requires screening for tuberculosis for ALL of its employees. Even if the new hire is not going to be working onsite regularly, this is an entry requirement for all employees. TB skin tests (also called a PPD, or Purified Protein Derivative) are the standard test utilized at UCSF. A small amount of fluid is injected intradermally (between layers of the skin) in the forearm. The new hire returns to the medical office where it was placed 48-72 hours later to have the area looked at and the TB skin test is read at that time.   

The following are ways in which the TB screening requirement can be met by the new hire: 

  • If the new hire was previously negative or has never had a skin test before, then 2 skin tests are required as outlined below:   
  • TB test #1: Record showing negative result of TB skin test result within prior 12 months OR Negative Quantiferon (blood test for TB)  
  • TB test #2: Record showing negative result of TB skin test result within the prior 3 months OR Negative Quantiferon (blood test for TB) 
  • If receiving a 2nd PPD skin test, it must be performed at least 7 days after PPD#1 is placed 
  • If the new hire has had a positive TB skin test in the past OR a documented history of tuberculosis and treatment, then they cannot have a TB skin test done. Instead, they are asked to present ALL of the following: 
  • Record of positive PPD (including documentation of the measurement of the positive test, also called induration) 
  • Chest X-ray result showing no evidence of tuberculosis, performed within the prior 1 calendar year 
  • TB symptom review which shows no concerning symptoms for disease (i.e. no unintentional weight loss, cough lasting >3 months, blood in the sputum, etc.) 

PLEASE NOTE: Live virus vaccines including but not limited to measles, mumps, rubella, varicella, mpox, and yellow fever, interfere with TB testing. This could cause a 28-day waiting period before TB testing can be completed and the 28-day waiting period can delay your start date. Do not obtain a vaccine outside of OHS without first speaking to us to avoid delays in clearance. 

Q-fever surveillance

Q-fever surveillance involves baseline and annual screening of UCSF employees working with sheep as well as post-exposure assessment as necessary.

The process involves assessing risks for the population, conducting sign and symptom review, drawing titers on employees with past negative or equivocal titers, assessing titer results, recommending medical follow-up if necessary, tracking the data over time to provide historical baseline on serology, and reporting any trends in conversions.