link TB Testing and Immunizations

A needle is pictured entering the arm of a student as they receive a vaccine.

2022-23 Updated TB Testing

Jump to New Faculty/Staff TB Screen Information

For Students

Please follow all the directions in the letter below, complete and return all forms as noted, and your TB Screening will be complete.

Currently, we are implementing the approved CCCCO screening assessment. This is a virtual screening by criteria, which uses your history and other factors to allow a physician to assess your risk for TB.

An in-person visit is not currently required. This screening will require that you work on a computer capable of completing a PDF file and potentially, but infrequently, may require a video visit through Student Health Services on Cranium Café.

The fee is $20.00 for students.

If your screening is negative, there will be no additional fees.

If Your Screen is Positive

If you have a positive screening, you will be required to have a CXR (chest x-ray) at your own expense. We have arrangements available with several local radiology groups for you to consider.

If you have an HMO, you can get the CXR done at your HMO and provide us the result.

Documents for Students to Complete

Linked below are the documents that you will need to complete for your TB screening. Please download/save, fill out, and return these forms to via email to alfred.forrest@wvm.edu.

Download the packet which contains the following pdfs.

  1. Student Registration and Consent form
  2. Student Health History form
  3. TB Surveillance form
  4. A copy of your driver license
  5. A $20.00 Payment. Mail to the following address.

Mail Your Check to the following address:

WVMCCD Health Services
Student Services Center Room 101
14000 Fruitvale Avenue
Saratoga, CA 95070-5698

An email receipt for your proof of payment is available upon request, once we receive your check.


Staff and Faculty TB Testing

Please read this email carefully for instructions on how to complete your TB screening. Currently, we are implementing the approved CCCCO screening assessment. This is a virtual screening by criteria, which utilizes your history and other factors to allow a physician to make an assessment as to your risk for TB.

An in-person visit is not currently required. This screening will require that you work on a computer capable of completing a PDF file and potentially, but infrequently, may require a video visit through Faculty Health Services on Cranium Café. 

Download the packet, complete and email to alfred.forrest@wvm.edu. 

  1. Faculty Registration and Consent form
  2. Faculty Health History form
  3. TB Surveillance form
  4. CXR Consent and Information 

Also Required

  • a copy of your Driver's License for verification of your identity (please email a photo of your I.D. along with the above documents.)
  • $35 payment – please mail a check made out to West Valley-Mission Community College District Health Services to the address below: 
Faculty Health Services
Student Services Center Room 101
14000 Fruitvale Avenue
Saratoga, CA 95070-5698

An email receipt for your proof of payment is available upon request, once we receive your check.

Thank you for your patience with this new digital process.