Employee Health Services pre-employment forms
New UC Davis Health System employees are required by California law to have a health evaluation within the first five days of employment. Human Resources or Nurse Recruitment will schedule each employee for a physical exam. An hour should be allowed for this evaluation, which consists of preparing a health history; a physical examination to determine any exposure to infectious disease and an employee's basic capacity to perform his or her assigned duties; and a skin test or chest X-ray to screen for immunity to certain communicable diseases. Employee Health Services also gives vaccines (hepatitis B, measles, rubella, tetanus/diphtheria and flu) when indicated. The health system requires all employees to be immune to both rubella (German measles) and rubeola (measles). We provide these vaccines free of charge.
- Employee Evaluation of Communicable Infections
- Employee Health Services Flow Sheet
- Employee Health Services Information Sheet
- Employee Health Services Questionnaire
- Health Clearance Verification for Locums/Casual Faculty/Volunteers/Contractors
- Incomplete TB Testing
- Mandatory Requirements for UC Davis Health System Pre-employment Health Clearance
- N-95 Health Clearance Questionnaire
- New Employee Health Clearance Form
- Pending Health Clearance
- PPD Positive Intake Form
- Symptom Interview Checklist
- Vocational Rehabilitation Disclaimer

