To complete the Phlebotomy Application please upload documentation of the following. All documentation must be in PDF format. Do not upload JPG or other file types. All documents must include identifiers such as your name and/or birthdate. Screenshots of online patient portals will not be accepted. Any application that does not include ALL items listed will be declined. Students can reapply at any time with the correct documentation.
Tuberculosis
Option 1
Two two-step TB skin tests. How is 2-step PPD testing done? The 2-step PPD test, or tuberculin skin test, is used to detect individuals with past tuberculosis (TB) infection. It is done in a four-appointment schedule: Visit 1: Place the first PPD Visit 2: 48-72 hours (about 3 days) later, the PPD is read. Visit 3: 1-3 weeks after Visit 1, the second PPD is placed. Visit 4: 48-72 hours (about 3 days) later, the PPD is read. In summary, 2-step PPD testing requires 2 PPDs to be placed, 1-3 weeks apart, with each of those tests read 48-72 hours (about 3 days) after placement.
Option 2
Documentation of negative TB skin test for last 3 consecutive years.
Option 3
If past positive results indicate a clear Chest X-ray within the last 5 years.
Option 4
IGRA – TB Blood Test (QuantiFERON TB Gold)
Tetanus, Diphtheria, Pertussis (Tdap)
Option
Vaccination within the last 8 years
Measles, Mumps & Rubella (MMR)
Option 1
Two vaccinations (6 weeks apart)
Option 2
Positive antibody titers (blood draw) for ALL 3 components
Varicella (Chicken Pox)
Option 1
Two vaccinations (6 weeks apart)
Option 2
Positive antibody titer (blood draw)
Hepatitis B (Hep B)
Option 1
Three vaccinations (2nd shot 2 months after 1st, and 3rd shot 4-6 months after 1st shot)
Option 2
Positive antibody titer (blood draw)
Influenza (Flu)
Option
One vaccination administered during the current flu season
COVID-19
Option 1
Two vaccinations of Moderna 21 days (about 3 weeks) apart
Option 2
Two vaccinations of Pfizer 28 days (about 4 weeks) apart
Option 3
One vaccination for Johnson & Johnson
Proof of more immunizations or other requirements may be requested for acceptance into the program as required by the recommendations of the Centers for Disease Control, Washington state, and/or adopted by the externship site Infection Control Department.
