Sacramento County is the second largest port of arrival for refugees, secondary migrants, parolees and asylees in California, and has one of the largest Slavic populations in the nation. The county Refugee Health Assessment Program/Clinic (RHAP) provides comprehensive health assessments on all newcomers, using a newly developed nine-page health assessment form that addresses issues on depression, domestic violence, victims of torture, personal and family health history, and high-risk behaviors (nutrition, drugs, sexual activity). Adult physical exams, and CHDP exams are done on a routine basis. Extensive lab work is an important component of the assessment process, and is used to test for various health conditions. Immunizations are provided to all adults and children in order to meet their green-card requirement for resettlement at the time of their initial visit to the clinic. Tuberculosis is one of the communicable diseases the newcomers are screened for, and TSTs are placed. Quality control measures are collaboratively monitored between the county Chest Clinic and the RHAP. The entire assessment process takes two to three visits, and the newcomers are then referred out into the community to access and enter health care.