Get prepared for your first day!

Congratulations on joining our family. The new hire information on this page will help you get started on your journey as an ECU Health team member. Read below for information on Occupational Health pre-employment requirements, Frequently Asked Questions, Form I-9 and benefits.
Occupational Health Pre-Employment Screening
Please read the following information carefully regarding your scheduled Occupational Health appointment. If you have questions or need clarification, please reach out to your local Occupational Health clinic.
Before you begin work, your onboarding specialist will contact you to schedule your pre-employment health screening at your nearest Occupational Health clinic. For remote hires, we will partner with a national laboratory site near you, but please let us know if you will be in the area prior to your hire date and we will make every effort to work you for a more expedient on-boarding process.
If your appointment is at one of our occupational health clinic locations, please arrive at least 15 minutes prior to your appointment time. Because of the availability of appointments, arriving late may require us to reschedule your appointment and potentially delay your start date. If you have an emergency develop, please contact the Occupational Health clinic at which you are scheduled and your onboarding specialist immediately. Changes to appointment date may result in a delay in your agreed upon start date.
Prior to your appointment, please read the following documents:
- Information about Worker’s Comp
- Acknowledgment regarding accidental injury
- Hand hygiene
- Hazardous drugs
- Physical Demands Analysis for the job you have been offered
- Log in link and password will be provided by your onboarding specialist
When you come for your Occupational Health appointment, please bring the following items:
- A valid, unexpired state-issued ID and social security card
- Eyeglasses or contact lenses (if applicable)
- Immunization records
- Current prescription medication bottles/packets
- Completed Pre-employment Screening Form
Your offer of employment with ECU Health is contingent upon satisfactory completion of your pre-boarding, background check, and Occupational Health pre-employment screening.
Please feel free to contact your onboarding specialist or the Occupational Health clinic with any questions. Additionally, please visit other areas on this site for other important information.
Congratulations and welcome to the ECU Health family!
Frequently Asked Questions
The health and safety of our team members, patients and visitors are important to us. The pre-employment health screening helps ensure new team members can safely perform the essential functions of their position, with or without reasonable accommodation, and meet ECU Health, state, and federal health and safety requirements.
Your privacy is our priority. Your personal health information is maintained confidentially by ECU Health Occupational Health and is protected in accordance with applicable privacy laws and organizational policies. Your medical information is not shared with your manager or department. Occupational Health only communicates information necessary for employment purposes, such as whether you have met health requirements for your position and whether any work restrictions or accommodations need to be considered. Specific medical information is not disclosed without your authorization, except as required or permitted by law.
Immunization requirements vary depending on your position. In general, you should be prepared to provide documentation of:
- two doses of the MMR (measles, mumps, and rubella) vaccine or laboratory evidence of immunity (positive titer)
- two doses of the varicella (chickenpox) vaccine or laboratory evidence of immunity (positive titer)
- one dose of Tdap (tetanus, diphtheria, and pertussis) vaccine
- hepatitis B vaccination records, if applicable to your role (vaccination is offered to eligible health care workers)
- annual influenza (flu) vaccination, as required
- COVID-19 vaccination status may be provided voluntarily but is not required
If you need copies of your immunization records, we encourage you to check the following sources before your appointment:
- Your current or previous employer’s Occupational Health department. If you have worked in health care, your employer may have records of vaccinations, titers or other occupational health requirements. These records are often maintained separately from state immunization registries.
- Your health care provider or local health department. Your primary care provider, pediatrician or local health department may have copies of your immunization records. Please note that health care providers may only retain records for a limited period of time.
- Previous employers or military records. Employers, colleges, universities or military service may have documentation of required immunizations.
- Schools or parents/caregivers. Childhood immunization records are often maintained by schools or kept by parents or other caregivers.
During your pre-employment screening, ECU Health Occupational Health nurses can also search the North Carolina Immunization Registry (NCIR) for available immunization records. If records are still unavailable or incomplete, we will discuss the next steps with you, which may include laboratory titers to assess immunity or receiving recommended vaccinations, as appropriate.
To verify your immunization status, please provide one of the following for each required vaccine:
- An immunization record signed or stamped by a physician, health care provider, or public health official that includes the month, day, and year each vaccine dose was administered.
- An official immunization record from a state or local immunization registry, health department, school, or other health care organization that includes the month, day, and year each vaccine dose was administered.
- A laboratory report showing positive immunity (titer), when accepted in place of vaccination documentation.
Please ensure your identifying information (such as your name and date of birth) is clearly visible on all records you submit.
If you can’t find your personal records or records from your doctor, you may need to get vaccinated again. While this is not ideal, it is safe to repeat vaccines. Another option is to have blood drawn to check for immunity. These blood tests are called immunity titers and can be drawn for Measles, Mumps, Rubella, and Varicella (Chickenpox). These can be performed free of charge at your in-person appointment with ECU Health Occupational Health.
Some prescription medications can cause you to have a positive urine drug screening result. We require that you produce a copy of your current prescription for the medication detected on the drug screen. This result will be reviewed by a Medical Review Officer to determine if your prescription medication was the reason for the positive test result, in which case your drug screen result will be negative.
*Please note, the drug screen will test for marijuana, which is not a legal substance in the state of North Carolina.
The ECU Health Medical Review Officer (MRO) may request a repeat of a drug screen at their discretion. The screening may be observed, if requested.
- Respond promptly to phone calls and e-mails.
- Research and bring your immunization records to your scheduled appointment.
- ECU Health has a 20/40 minimum standard for vision for most positions. Failure to meet this requirement may delay your start date.
- Medical clearance for a respirator requires a blood pressure no greater than 160/100. Blood pressure over the range may require a consult with your personal physician.
- Additional medical clearance may be needed if there are concerns of your ability to meet the essential functions of the job with or without an accommodation. ECU Health Occupational Health may require a functional capacity evaluation, follow-up with the Occupational Health Medical Director or a review of previous medical records. To ensure your safety, please provide requested records so we may move through the medical clearance process as quickly as possible.
The Physical Demands Analysis (PDA) outlines the essential physical requirements of your position, including the activities, physical demands and work environment associated with your job.
As part of your pre-employment health screening, you will be asked to review your PDA and confirm that you are able to perform the essential functions of the position, with or without a reasonable accommodation.
A link to your Physical Demands Analysis will be included in your New Hire Onboarding documents.
ECU Health Occupational Health will conduct annual screens during your birthday month. This may include the following:
- Tuberculosis screening
- Annual Flu Vaccine
- Respiratory Fit Testing
- Physical Demands Analysis Review
- Occupational Health record update/immunization review
Form I-9 Documentation Requirements
All new team members employed by ECU Health must complete a Form I-9. This will be done during your pre-boarding process however, you will need to present a document from List A or documents from List B and List C (click here to see documents in each list) on Welcome Day. All documents must be originals and we cannot accept a copy.
For ECU Health Physicians Group providers:
On your first day of employment, login to Employee Self Service with the E# and password provided in your Welcome Day Letter to access and complete your Form I-9. (See Form I-9 instructions.)
For remote workers and relocation:
Please notify your onboarding specialist if you will be in the area or coming on-site prior to your start date and we can schedule you to complete your Form I-9. If you will not be on-site prior to your start date, your onboarding specialist will arrange to complete your Form I-9 virtually.
Benefits Information
Visit our Total Rewards site to learn more about your health plan options, find benefit contact information and view all the ways in which ECU Health invests in you.

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