A practical guide for new parents

How to arrange pre-start health screening

After hiring a caregiver, you may choose to pay for any needed screening before her start date if she does not already have documentation.

Choose the screening you need

These are third-party listings on Ulta Lab Tests. Choose only one; each link leaves NannyFYI.

Most families start here

1. TB infection blood test (IGRA)

QuantiFERON®-TB Gold Plus

This test screens for infection with TB bacteria. By itself, it cannot distinguish inactive infection from active, potentially contagious TB disease; a positive result needs clinical follow-up.

  • Positive, Negative, or Indeterminate result
  • Unaffected by BCG vaccination
  • One blood draw; no return skin-test reading

Review only for a broader request

2. TB test + MMR / Varicella antibodies

Pre-Employment Base Panel

This panel includes the same QuantiFERON TB blood test plus MMR and Varicella IgG antibody tests. It does not include an in-person physical or vaccinations.

  • QuantiFERON TB
  • MMR IgG
  • Varicella IgG

Option 2 already includes QuantiFERON. Do not also purchase option 1.

How new parents can coordinate the process

  1. 1. Confirm the screening scope

    Agree with the caregiver whether she will complete a TB infection blood test (IGRA) only or add MMR and Varicella antibody testing before her start date.

  2. 2. Prepare the caregiver’s information together

    Have the caregiver confirm and agree that the family will help. Gather her legal name, date of birth, ZIP Code, and an email address and phone number you both agree can receive notices. The patient must always be the caregiver, not the parent.

  3. 3. Have the family register, order, and pay

    With the caregiver aware or present, a parent can operate the Ulta website. Choose only one listing above, select a quantity of 1, pick a collection site using her ZIP Code, and have the family cover the cost. Follow Ulta checkout for current pricing and payment options.

  4. 4. Print the paperwork and arrange the visit

    After payment, download and print the PSC Requisition from My Orders, then follow the site’s appointment or walk-in instructions. The family can arrange transportation or accompany the caregiver. Bring the requisition and any requested photo identification.

  5. 5. Help download the report

    After the result notice arrives, the family can continue helping the caregiver sign in and download the official PDF while keeping her informed about how it will be used. Check the items below and ask a healthcare professional about any Positive or Indeterminate result.

Need a complete employment physical? Ulta is not the right service

Ulta’s current workflow covers lab-test ordering, specimen collection, and results. It does not replace an in-person physical exam or provide vaccinations or a clinician’s signature on your health-clearance form. For those services, use an occupational health clinic that offers pre-employment physicals.

  1. 1Search for “pre-employment physical” or “occupational health clinic” and choose a clinic that explicitly offers employment physicals.
  2. 2Before booking, confirm that the clinic can examine a household caregiver, sign the form you bring, and complete any needed TB testing, titers, or vaccinations during the same visit.
  3. 3Have the caregiver bring photo ID, the blank form, available vaccination records, and prior TB results. Ask for the total self-pay price, then have the family cover the cost.

Call the clinic and ask

“I’m arranging a pre-employment physical for a household caregiver. Can your clinician perform the exam and sign the form I bring? Can any required TB test, titers, or vaccines be done at the same visit, and what is the self-pay price?”

Concentra is one nationwide example; services vary by center, so call first. The treating clinician decides whether a clearance can be signed and whether any follow-up testing is needed.

What the family should check after testing

If the family helped with registration and ordering, it can also help the caregiver sign in and download the official PDF when the result is ready. Check these three items:

  • Name: matches the caregiver’s legal name on her identification
  • Test: lists QuantiFERON®-TB Gold Plus or the panel you agreed upon
  • Date and result: shows the specimen date and the laboratory-issued result

Do not decide fitness for work yourself if the result is Positive or Indeterminate; ask the caregiver to follow up with a clinician or TB clinic. A Negative TB result still does not replace a complete physical clearance.