Systems and processes are presented for real time health credentialing of individuals seeking entry to a facility requiring health credentialing for access. A system and process for real time detection of a febrile condition comprises providing a heat sensor operable to receive thermal radiation from a person. Optionally, the system provides a controller operable to selectively orient the thermal sensor incident to the facial region of a person within a zone of detection. Further, the system optionally processes the sensor temperature to conditionally determine a febrile condition.