Originally Posted by
gammaray
Moderators can move this to the appropriate thread.
The civil surgeon will ask for proof of MMR and TDAP (within last 10 years). If there is no proof, need to get TDAP. For MMR he will recommend a blood test and if any of the three (mump, measles, rubella) antibodies are below minimum levels then you will have to take the MMR shot. Typically mumps antibodies decline with age, so some people fail that in spite of getting the childhood shot.
Including the MMR test, the other blood/urine tests which he will recommend are:
MMR AB (IGG) Panel
Chlamydia/Gonorrhoeae RNA, TMA, Urogential --- Urine test
Varicella Zoster Virus Antibody (IGG) ---- chickenpox
RPR (DX) W/REFL Titer --- blood test for Syphilis
Quantiferon TB Gold Plus, 1 tube ----- TB
If the TB test comes back positive, a confirmatory X-ray will be required.
All these tests can be done at Quest Diagnostics or whatever lab exists in your area. Not sure if the labs conduct the testing without the doctors note. Also insurance will not cover the lab tests without a doctors note. Depending on the insurance all the tests are free (may have to pay some for the TB test). Without insurance the bill is around $1200.
Any of the vaccines (MMR, TDAP, Chickenpox) can be taken without a doctors note at a CVS/Walgreens -- which is free with insurance (if you take it at the civil surgeon or urgent care or elsewhere you have to pay).
All other vaccines listed on the I693 ( Hepatitis A/ B, pneumococcal, rotavirus, meningococcal) will be marked not age appropriate by the surgeon.
Caveat: Flu and Covid vaccines required after Oct 1.
If you can't find an earlier appointment with a doctor, I suggest searching for other civil surgeons in the area. Typically civil surgeons in urgent care etc. allow walk-ins and are available right away.
Hope this helps.