The Placement Health Review is a required process for selected job positions at Duke University based on federal, state and University regulations and policies. The basic requirements are described below by job group. This listing is not exhaustive nor does it preclude additional interventions based on individual and job exposure variation. Placement health review information is maintained confidentially and separate from personnel and other Duke medical records.
Please bring all required documentation (see below) to your health review. Failure to provide documentation may result in a delay in start date.
- If you have questions or need clarification, please contact EOHW at 919-684-3136, option 2
- If you have a sensitive health issue to discuss contact the Director of EOHW at 919-684-3136, option 2
Faculty and Staff with Patient Contact
- Health assessment initial pre-placement form,
- Color blindness screening,
- Respirator use screening, and
- Drug screening. Please bring a picture ID.
- Required immunizations documents are as follows:
Official Documentation of your Tuberculosis (TB) status:
- Documentation of a TB skin test (mm induration) or TB blood test (IGRA) - within 1 year prior to start date at Duke. (Note- Individuals who are 55 years or older, have previous equivocal TB testing results, have a history of BCG vaccine, or are from TB endemic areas will be required to show proof of a two-step skin test), or
- Documentation of previous positive result for the TB skin test or blood test
- Those who have positive TB skin or blood test will need to provide documentation of chest x-rays, prior TB medication, and completed TB questionnaire form, described further in the FAQs.
Official Documentation of your Measles immunity, either:
- Two doses of Measles vaccine or 2 (MMR) vaccines or
- A positive blood test (titer) for Measles (Rubella) Antibody IGG
Official Documentation of your Mumps immunity, either:
- Two doses of Mumps vaccine or 2 (MMR) vaccines or
- A positive blood test for Mumps Antibody IGG
Official Documentation of your Rubella immunity, either:
- One dose of Rubella vaccine or (MMR) vaccine or
- A positive blood test for Rubella Antibody IGG
Official Documentation of your “chicken pox” Varicella (Vz) immunity, either:
- Two doses of Varicella vaccine or
- A positive blood test for Varicella surface Antibody IGG
Official Documentation of “whooping cough” Pertussis immunity is required if providing care to children 18 months of age or younger as well as in certain designated work areas*
- Tdap vaccination within past 10 years
- * For all others, vaccination with acellular pertussis vaccine (Tdap) is recommended.
Official Documentation of influenza immunity:
- Documentation of Influenza vaccine during current flu season. Requests for exemptions must be made through Employee Occupational Health.
- Annual Influenza vaccination is required for your employment at Duke.
Official Documentation of Covid-19 immunity:
- Newly hired Duke employees will be required, at a minimum, to have received a single dose of a World Health Organization (WHO) approved COVID-19 vaccination or a Duke-approved medical or religious exemption prior to their start of work date. Employees receiving mRNA COVID-19 vaccines will be expected to complete the initial series within 30 days from their initial dose.
- New Duke employees are required to receive a booster dose 5 months after the second dose of an mRNA vaccine or 2 months after a vector vaccine. New hires who are eligible for a booster prior to their employment start date are required to receive the booster or have a Duke approved exemption prior to beginning employment. If the new employee is not yet eligible for a booster at the time of their start of employment, they will have until 28 days after becoming eligible under CDC and state guidelines to receive a booster or an approved exemption.
- Covid website for updated information & resources: covidvaccine.duke.edu and covid-19.dukehealth.org
- To apply for a medical exemption, have your medical provider complete and sign this form. Submit a scanned copy of the completed form to Employee Occupational Health & Wellness at EOHWCovidVac@duke.edu.
- - To apply for a religious exemption, complete and submit this form to Staff and Labor Relations by email to hrslrpolicies@duke.edu or by fax to 919-681-7924.
Documentation of polio immunity:
- History of receiving childhood polio vaccine is acceptable.
Hepatitis B Vaccination and Post Vaccination Antibody Titer –Vaccine series is strongly recommended. Provide record of vaccination and/or Hepatitis B Antibody results.
Healthcare workers without proof of Hepatitis B antibody titer after vaccine series are encouraged to obtain a titer prior to placement appointment.
New Hires to the Health System with No Patient Contact
- Health assessment initial pre-placement form,
- Drug screening. Please bring a picture ID.
Faculty and Staff Working with Research Animals
- Health history review for Animal Handlers — This can be completed and submitted online at Health Review for Animal Handlers. Job pertinent health history information is collected.
- Those working with non-human primates must have tuberculosis screening and immunity to measles
Official Documentation of your Tuberculosis (TB) status:
- Documentation of a TB skin test (mm induration) or TB blood test (IGRA) - within 1 year prior to start date at Duke. (Note- Individuals who are 55 years or older, have previous equivocal TB testing results, have a history of BCG vaccine, or are from TB endemic areas will be required to show proof of a two-step skin test), or
- Documentation of previous positive result for the TB skin test or blood test
- Those who have positive TB skin or blood test will need to provide documentation of chest x-rays, prior TB medication, and completed TB questionnaire form, described further in the FAQs.
Official Documentation of your Measles immunity, either:
- Two doses of Measles vaccine or 2 (MMR) vaccines or
- A positive blood test (titer) for Measles (Rubella) Antibody IGG