Screening & Testing

VDH Guidelines and Recommendations

Humanitarian Parolee Programs

As part of the Department of Homeland Security’s United States Citizenship and Immigration Services’ humanitarian parolee programs, program beneficiaries two years of age or older are required to complete a medical screening for tuberculosis (TB), including an IGRA test within 90 days of arrival to the United States.

Please reference the table below for further guidance regarding required documentation and the relevant submission process based on the parolee’s country of origin and entrance process:

Country of Origin 

Currently Eligible for ORR Benefits?* Required Documentation for Local Health Departments 

Where to Submit Required Documentation 

Nicaragua 

No  Humanitarian Parolee Tuberculosis Screening and Testing Form and laboratory generated IGRA invoice (Quest or LabCorp) **

Encrypted email to tuberculosis@vdh.virginia.gov or fax to 804-416-8175 

Venezuela 

No  Humanitarian Parolee Tuberculosis Screening and Testing Form and laboratory generated IGRA invoice (Quest or LabCorp) **

Encrypted email to tuberculosis@vdh.virginia.gov or fax to 804-416-8175 

Cuba 

Entered United States in accordance with the requirements of 45 CFR § 401.2 

Yes  Newcomer Health Program Initial Health Screening Report

Encrypted email to newcomerhealth@vdh.virginia.gov or fax (804-864-7913) by the 20th of the month following the screening date 

Entered United States in accordance with the U.S.-based sponsor DHS process 

No  Humanitarian Parolee Tuberculosis Screening and Testing Form and laboratory generated IGRA invoice (Quest or LabCorp) **

Encrypted email to tuberculosis@vdh.virginia.gov or fax to 804-416-8175 

Haiti 

Entered United States in accordance with the requirements of 45 CFR § 401.2 

Yes  Newcomer Health Program Initial Health Screening Report

Encrypted email to newcomerhealth@vdh.virginia.gov or fax (804-864-7913) by the 20th of the month following the screening date 

Entered United States in accordance with the U.S.-based sponsor DHS process 

No  Humanitarian Parolee Tuberculosis Screening and Testing Form and laboratory generated IGRA invoice (Quest or LabCorp) **

Encrypted email to tuberculosis@vdh.virginia.gov or fax to 804-416-8175 

Ukraine 

Yes  Newcomer Health Program Initial Health Screening Report

Encrypted email to newcomerhealth@vdh.virginia.gov or fax (804-864-7913) by the 20th of the month following the screening date 

* Including an initial health screening

** Invoice must indicate which specific laboratory procedure(s) you are seeking reimbursement and the eligibility criteria (Uniting for Ukraine, Private Sponsorship from Venezuela, Nicaragua, Cuba, or Haiti) that the individual meets. Please note, this is the same process used for IGRA reimbursement for Class B immigrants and contact investigations, as specified in this guidance document.

Last Update: March 8, 2023

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National Guidelines and Recommendations

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