Providence Occupational Medical Group ~ C180007 City of Tigard
CONTRACT CHANGE ORDER/ 13125 SW Hall Blvd.
AMENDMENT SUMMARY Tigard,Ore n 97one_(503j223
639-4171
7223
FIELD CHANGE ORDER FORM Fax-(503) 684-7297
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Project Title: Physical Capacities Testing Project Manager:Brandi Leos
Contractor: Providence Occupational Med. Grp O ' al Contract#: C180007
Effective Dates: 07/27/2017— 12/31/2020 Chane Order/Amendment Amount:
Accounting S Amendment PercentaZe Running Total: % ,
AMENDMENT DETAILS
Extend End Date to: Deeeffiber 31,2019 uecember S1,GUZU
CHANGE ORDER DETAILS UNIT QTY UNIT$ TOTAL$
REASONING FOR CHANGE ORDER/AMENDMENT
BUDGET IMPACT AND REQUIRED ACTIONS
REQUESTING PROJECT MANAGER L APPROVING CITY STAFF
Signature Signature
Date Date
Contractor is hereby authorized by the City of Tigard to perform CONTRACTOR
the additional work described below in accordance with the terms
and conditions detailed in the original contract along with all
applicable rules,regulations,and laws that may be in effect for the Signature
work. The unit pricing in the original contract shall apply to all
additional work. A copy of this form, once completed, is to be
forwarded to the Purchasing Office to ensure all changes to the
encumbrances are met. Remember— the cumulative total of
Amendments cannot exceed theproject's FY budget. Date
�Iv
CITY OF TIGARD,OREGON
AMENDMENT TO CONTRACT
PHYSICAL CAPACITIES TESTING
C180007
AMENDMENT #1
The Agreement between the City of Tigard,a municipal corporation of the State of Oregon,hereinafter called
City,and Providence Health&Services-Oregon,dba Providence Occupational Medicine,hereinafter referred
to as Contractor,entered into on the 27th day of July,2017,is hereby amended as follows:
1. EFFECTIVE DATE AND DURATION
Contractor shall initiate services upon receipt of City's notice to proceed,together with an executed copy
of this Agreement. This Agreement shall become effective upon the date of execution and shall expire,
unless otherwise terminated or extended,on Deeember 31,-241-9 December 31,2020. All services shall
be completed prior to the expiration of this Agreement.
IN WITNESS WHEREOF, City has caused this Amendment to be executed by its duly authorized
undersigned officer and Contractor has executed this Amendment upon signature and date listed below.
CITY OF TIGARD PROVIDENCE OCCUPATIONAL MED.GRP
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Signature Signature
X I r4u
Printed Name Printed Name —
Date Date
CITY OF TIGARD,OREGON
AMENDMENT TO CONTRACT
PHYSICAL CAPACITIES TESTING
C180007
AMENDMENT #1
The Agreement between the City of Tigard,a municipal corporation of the State of Oregon,hereinafter called
City, and Providence Health&Services -Oregon,dba Providence Occupational Medicine,hereinafter referred
to as Contractor, entered into on the 27th day of July, 2017,is hereby amended as follows:
1. EFFECTIVE DATE AND DURATION
Contractor shall initiate services upon receipt of City's notice to proceed,together with an executed copy
of this Agreement. This Agreement shall become effective upon the date of execution and shall expire,
unless otherwise terminated or extended,on Deeember-31z0-1.9 December 31,2020. All services shall
be completed prior to the expiration of this Agreement.
IN WITNESS WHEREOF, City has caused this Amendment to be executed by its duly authorized
undersigned officer and Contractor has executed this Amendment upon signature and date listed below.
CITY OF TIGARD PROVIDENCE OCCUPATIONAL MED.GRP
L I%� `R {
Signature Signature
Printed Name Printed Name
Com • / Zo/ ll - Zq--t�'
Date Date
CITY OF TIGARD,OREGON-CONTRACT SUMMARY FORM
("PHIS FORMMUST ACCOMPANY EVERY CONTRACT �__ _.�-
Contract Title: Physical Capacity Testing Number: M
Contractor: Providence Occupational Medical Group Contract Total: $50,000.00
Contract Overview: Covers pre-employment physical capacities and drug testing for a variety of City of
Tigmd positions.
Initial Risk Level: ❑ Extreme ❑ High &Moderate ❑ Low
Risk Reduction Steps:
Risk Comments:
Risk Signature:
Contract Manager: Brandi Leos Ext: 2407 Department: HR
Type: ❑ Purchase Agreement ® Personal Service ❑ General Service ❑ Public Improvement
❑ IGA ❑ Other: Start Date:-&A4' l'r End Date: 12/31/2019
Quotes/Bids/Proposal: FIRM AMOUNT/SCORE
Account String: Fund-Division-Account Work Order—Activit;Tyke Amount
FY YYl v +16�12. A m -S
FY
FY
FY
FY
412rovals - LCRB Date:
Department Comments:
Department Signature:
Purchasing Comments:
Purchasing Signature:
City Manager Comments:
City Manager Signature:
After securing all required approvals,forward original copy to the Contracting and Purchasing Office along with a
completed Contract Checklist.
Contract # 6
CI'T'Y OF TIGARD, OREGON
AGREEMENT FOR SERVICES RELATED TO
PHYSICAL,CAPACITIES TESTING
THIS AGREEMENT made and entered into this 27`x' day of July, 2017 by and between the City of Tigard,a
municipal corporation of the State of Oregon, hereinafter called "City", and Providence Health & Services —
Oregon, dba Providence Occupational Medicine, hereinafter called "Contractor", collectively known as the
"Parties."
RECITALS
WHEREAS, Contractor has submitted a bid or proposal to City to provide specific services; and
WHEREAS, Contractor is in the business of providing specific services and is aware of the purposes for
which City requires the services;and
WHEREAS, City and Contractor wish to enter into a contract under which City shall purchase the services
described in Contractor's bid or proposal;
THEREFORE,The Parties agree as follows:
1. SERVICES TO BE PROVIDED
Contractor agrees to provide services related to pre-employment testing as detailed in Exhibit A—Scope
of Services and by this reference made a part hereof.
2. EFFECTIVE DATE AND DURATION
Contractor shall initiate services upon receipt of City's notice to proceed,together with an executed copy
of this Agreement. This Agreement shall become effective upon the date of execution and shall expire,
unless otherwise terminated or extended,on December 31, 2019. All services shall be completed prior
to the expimtio:a of this Agreement.
3. COMPENSATION
City agrees to pay Contractor an amount not exceeding Fifty Thousand and No/100 Dollars($50,000.00)
for performance of those services described herein, which payment shall be based upon the following
applicable terms:
A. Payment will be made in installments based on Contractor's invoice, subject to the approval by
the City, and not more frequently than monthly. Payment shall be made only for work actually
completed as of the date of invoice.
B. Payment b, City shall release City from any further obligation For payment to Contractor, for
services performed or expenses incurred as of the date of the invoice. Payment shall not be
considered acceptance or approval of any work or waiver of any defects therein.
C. Contractor shall make payments promptly, as due, to all persons supplying labor or materials for
the prosecution of this work.
D. Contractor shall not permit any lien or claim to be filed or prosecuted against the City on any
account of any labor or material furnished.
E. Contractor shall pay to the Department of Revenue all sums withheld from employees pursuant
to ORS 316.167.
F. If Contractor fails, neglects or refuses to make prompt payment of any claim for labor or services
furnished to Contractor or a subcontractor by any person as such claim becomes due, City may
pay such claim and charge the amount of the payment against funds due or to become due the
Contractor. The payment of the claim in this manner shall not relieve Contractor or their surety
from obligation with respect to any unpaid claims.
G. Contractor shall pay employees at least time and a half pay for all overtime worked in excess of 40
hours in any one work week except for individuals under the contract who are excluded under
ORS 653.010 to 653.261 or under. 29 USC sections 201 to 209 from receiving overtime.
H. Contractor shall promptly, as due, make payment to any person, co-partnership, association or
corporation, furnishing medical,surgical,hospital care or other needed care and attention incident
to sickness or injury to the employees of Contractor or all sums which Contractor agrees to pay
for such se;-vices and all moneys and sums which Contractor collected or deducted from the wages
of employees pursuant to any law, contract or agreement for the purpose of providing or paying
for such service.
I. The City certifies that sufficient funds are available and authorized for expenditure to finance costs
of this contract during the current fiscal year. Appropriations for future fiscal years shall be subject
to budget approval by the City Council.
4. ASSIGNMENT/DELEGATION
Neither party shall assign or transfer any interest in or duty under this Agreement without the written
consent of the other and any attempted assignment or transfer without the written consent of the other
party shall be invalid.
5. SUBMITTING BILLS AND MAKING PAYMENTS
All notices and bills shall be made in writing and may be given by personal delivery,mail or fax. Payments
may be made by personal delivery,mail, or electronic transfer. The following addresses shall be used to
transmit notices,bills,payments,and other information:
{ T~ Ty ov TwAR.D: PROVIDE NCV OCCUPATIONAL Wb.GRV,
Attn:Brandi Leos Attn: Laura Cook
Address: 13125 SW Hall Boulevard Address:--1a3� "mac.
Tigard, Oregon 97223 Lair.@ QswgFa, QR-974-15— �t'`�'� -3
Phone: (503) 718-2407 Phone: `jC`3 51`'13=1���� �`\e,, ,L�(i—
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Fax: (503) 6.39-6795 Fax: . - S-61S
Email: brandi r..Rigard-or.grov Email: laura.cool::a),1,rovidence.org
6. TERMINATION
The parties agree that any decision by either party to terminate this Agreement before the 31"day of
December.,2019 shall be accompanied by thirty(30) days written notice to the other party prior to the
date termination would take effect. There shall be no penalty for early termination. If City terminates
the contract pursuant to this paragraph,it shall pay Contractor for services rendered prorated to the date
of termination.
2 1 Par> e,
7. ACCESS TO 'RECORDS
City shall have access to such books, documents, papers and records of Contractor as are directly
pertinent to this Agreement for the purpose of making audit,examination,excerpts and transcripts.
S. FORCE MAI]EURE
Neither City nor Contractor shall be considered in default because of any delays in completion and
responsibilities hereunder due to causes beyond the control and without fault or negligence on the part
of the parties so disenabled, including but not restricted to, natural disaster, war, civil unrest, volcano,
earthquake, fire, flood, epidemic, quarantine restriction, area-wide strike, freight embargo, unusually
severe weather or delay of subcontractor or supplies due to such cause; provided that the parties so
disenabled shall within ten (10) days from the beginning of such delay, notify the other party in writing
of the cause of delay and its probable extent. Such notification shall not be the basis for a claim for
additional compensation. Each party shall,however,make all reasonable efforts to remove or eliminate
such a cause of delay or default and shall, upon cessation of the cause, diligently pursue performance of
its obligation under the Agreement.
9. NON-DISCRIMINATION
Contractor agrees to comply with all applicable requirements of federal and state civil lights and
rehabilitation statues, rules, and regulations. Contractor also shall comply with the Americans with
Disabilities Act of 1990,ORS 659A.142,and all regulations and administrative rules established pursuant
to those laws.
10. INDEMNIT`c'
Contractor agrees to and shall defend, indemnify and hold harmless City, City's officers, employees,
agents and representatives from and against all liability, claims, costs, demands, judgments,penalties,
and causes of action of any kind or character,or other costs or expenses incidental to the investigation
and defense thereof,of whatever nature,resulting from or arising out of the activities of the Contractor
or its subcontr;ictors,agents, or employees in performance of this contract, except,however, that the
foregoing shall not apply to liability that arises out of the City's, its officers', employees', agents' and
representatives' negligence. In cases in which negligence or liability is alleged against both parties,
each party shall indemnify the other for its own negligence or liability. If any aspect of this indemnity
shall be found to be illegal or invalid for any reason whatsoever, such illegality or invalidity shall not
affect the remainder of this indemnification.
11. INSURANCE;
Contractor shalt_
maintain insurance acceptable to City in full force and effect throughout the term of this
contract. Such insurance shall cover risks arising directly or indirectly out of Contractor's activities or
wort:hereunder.
The policy or policies of insurance maintained by the Contractor shall provide at least the following limits
and coverages:
A. Cominercial General Liability Insurance
Contractor shall obtain,at contractor's expense,and keep in effect during the term of this contract,
Comprehensive General Liability Insurance covering Bodily injury and Property Damage. This
coverage shall include Contractual Liability insurance for the indemnity provided under this
contract. The following insurance will be carried:
3 1 T1agc
Coverage Limit
General Aggregate 3,000,000
Products-Completed Operations Aggregate 2,000,000
Persotn:al &Advertising Injury 1,000,000
Each Occurrence 2,000,000
Fire Damage (any one fire) 50,000
B. Commercial Automobile Insurance
Contractor shall also obtain, at contractor's expense, and keep in effect during the term of the
contract, Commercial Automobile Liability coverage including coverage for all owned, hired, and
non-owned vehicles. The Combined Single Limit per occurrence shall not be less than$2,000,000.
C. Workers' Compensation Insurance
The contractor, its Subcontractors, if any, and all employers providing work, labor, or materials
under this Contract that are subject employers under the Oregon Workers' Compensation Law
shall comp:.y with ORS 656.017,which requires them to provide workers' compensation coverage
that satisfies Oregon law for all their subject workers. Out-of-state employers must provide
Oregon workers' compensation coverage for their workers who work at a single location within
Oregon for more than 30 days in a calendar year. Contractors who perform work without the
assistance or labor of any employee need not obtain workers' compensation coverage. All non-
exempt employers shall provide Employer's Liability Insurance with coverage lit-nits of not less
than $1,000,000 each accident.
D. Additional Insured Provision
All policies aforementioned, other than Workers' Compensation and Professional Liability, shall
include the City its officers, employees, agents and representatives as additional insureds with
respect to this contract.
E. Self-Insurance
The City understands that some Contractors may self-insure for business risks and the City will
consider whether such self-insurance is acceptable if it meets the minimum insurance requirements
for the type: of coverage required. If the Contractor is self-insured for commercial general liability
or automobile liability insurance the Contractor must provide evidence of such self-insurance.
The Contractor must provide a Certificate of Insurance showing evidence of the coverage
amounts on a form acceptable to the City. The City reserves the right in its sole discretion to
determine whether self-insurance is adequate,
F. Certificates of Insurance
As evidence of the insurance coverage required by the contract, the Contractor shall furnish a
Certificate of Insurance to the City. No contract shall be effective until the required Certificates
of Insurance have been received and approved by the City. The certificate will specify and
document all provisions within this contract and include a copy of Additional Insured
Endorsement. A renewal certificate will be sent to the below address prior to coverage expiration.
G. Independent Contractor Status
The service or services to be rendered under this contract are those of an independent contractor.
Contractor is not an officer,employee or agent of the City as those terms are used in ORS 30.265.
4
II. Primary Coverage Clarification
The parties agree that Contractor's coverage shall be primary to the extent permitted by law. The
parties further agree that other insurance maintained by the City is excess and not contributory
insurance vrith the insurance required in this section.
I. Cross-Liability Clause
A cross-lia:)ility clause or separation of insureds clause will be included in all general liability,
professional liability,pollution and errors and omissions policies required by thus contract.
A certificate in form satisfactory to the City certifying to the issuance of such insurance will be forwarded
to:
City of Tigard
Attn: Contracts and Purchasing Office
13125 SSU I=Iall Blvd.
"Tigard, Oregon 97223
Such policies or certificates must be delivered prior to commencement of the work. The procuring of
such required insurance shall not be construed to limit contractor's liability hereunder. Notwithstanding
said insurance, Contractor shall be obligated for the total amount of any damage,injury, or loss caused
by negligence or neglect connected with this contract.
12. ATTORNEY'S FEES
In case suit or action is instituted to enforce the provisions of this contract, the parties agree that the
losing party shall pay such sum as the court may adjudge reasonable attorney fees and court costs,
including witness fees (expert and non-expert),attorney's fees and court costs on appeal.
13. COMPLIANCE WITH STATE AND FEDERAL LAWS/RULES
Contractor shall comply with all applicable federal, state and local laws, rules and regulations,
including, but not limited to, the requirements concerning working hours, overtime, medical care,
workers compensation insurance, health care payments, payments to employees and subcontractors
and income tax withholding contained in ORS Chapters 279A, 279B, and 279C, the provisions of
which are hereby made a part of this agreement.
14. CITY OF TIGARD BUSINESS LICENSE
Contractor shall obtain,prior to the execution of any performance under this Agreement,a City of Tigard
Business License. The Tigard Business License is based on a calendar year with a December 31st
expiration date. New businesses operating in Tigard after June 30th of the current year will pay a pro-
rated fee though the end of the calendar year.
15. CONFLICT BETWEEN TERMS
It is further expressly agreed by and between the parties hereto that should there be any conflict between
the terms of this instrument in the proposal of the contract, this instrument shall control and nothing
herein shall be considered as an acceptance of the terms of proposal conflicting herewith.
16. SEVERABILITY
In the event any provision or portion of this Agreement is held to be unenforceable or invalid by any
court of competent jurisdiction, the validity of the remaining terms and provisions shall not be affected
to the extent that it did not materially affect the intent of the parties when they entered into the agreement.
5 111aye.
17. COMPLETE AGREEMENT
This Agreement,including the exhibits,is intended both as a final expression of the Agreement between
the Parties and as a complete and exclusive statement of the terms. In the event of an inconsistency
between a provision in the main body of the Agreement and a provision in the Exhibits,the provision in
the main body of the Agreement shall control. In the event of an inconsistency between Exhibit A and
Exhibit B,Exhibit A shall control.
No waiver, consent, modification, or change of terms of this Agreement shall bind either party unless
in writing and signed by both parties. Such waiver, consent, modification, or change if made, shall be
effective only in specific instances and for the specific purpose given. There are no understandings,
agreements, or representations, oral or written, not specified herein regarding this Agreement.
Contractor,by the signature of its authorized representative,hereby acknowledges that he/she has read
this Agreement,understands it and agrees to be bound by its terms and conditions.
IN WITNESS WHEREOF,City has caused this Agreement to be executed by its duly authorized undersigned
officer and Contractor has executed this Agreement on the date hereinabove first written,
CITY OF TIGARD oQ PROVIDENCE OCCUPATIONAL MED GRP
By:Authorized City Representative By: Program Bgroe*ar
EA10 19-01-7
Date Date
6 1' age
EXHIBIT A
SCOPE OF SERVICES
TEST ADMINISTRATION
Scheduling Appointments
The candidate/examinee shall:
1. Contact the Consultant agency by calling 503-216-7960 within three business days to arrange an
appointment at a desired clinic location.
Administering the Tesr.
The consultant shall adhere to the following process:
1. Upon arrival at the clinic, the candidate/exarninee is registered by the front desk staff and directed to
complete any recuired forms.
2. After registration, the candidate/examinee is then escorted to the back office where any necessary
ancillary services are performed by a certified Medical Assistant or Technicians(i.e.height,weight,blood
pressure,vision screens,hearing tests,lung function tests,etc.).A qualified medial provider will complete
the additional aspects of the pre-screen medial evaluation,including administering a drug test and other
medical tests as may be necessary.
3. After the pre-screen medical evaluation with the medical provider, the examinee is escorted to the to
the physical capacity room where the remainder of the examination will be performed by a certified
Medical Assistant.
4. The process typically takes 45 rninutes to one hour.
5. Upon completion of the appointment the front desk staff assists the examinee in "checking out".
Reporting Examination Results
The consultant shall:
1.. Following test completion,process records and reports and send results to the identified City of Tigard
Human Resources designee.
2. Certify and provide results from the examination/evaluation to the City within two (2) business days or
when lab and ancillary results are available.
3. Provide results to the City of Tigard in a one page report which indicates one of the following:
a) Pre-screen medical and baseline test results:
I. The individual may perform the job without restrictions.
11. Limitations are identified in this individual's ability to perform the job: (limitations noted)
b) PCE test results:
I. The examinee is cleared to perform the job without restriction/accommodations;or,
II. Identification of limitations and accommodation(s); or,
c) Determination Pending review of requested medical records
Further evaluation is necessary,which may include additional testing, or review of requested
medical records,
4. Restrict protected health information from the report provided to the City of Tigard.
5. NOT provide examinees a copy of the report, nor give information about the results, unless special
instructions to do so are provided by the City of Tigard.
6. Make available providers and staff to answer questions the City of Tigard contact may have regarding
the examinations,within the allowances of I APPA.
'rime Commitments
The consultant shall:
1. Complete the conditional post-offer evaluation in one visit unless, based on a specific exaininee's
medical history, additional medical information is needed.
711) age
2. Obtain the necessary release from the examinee and request records as appropriate.
3. Review records within one to two business days of receipt, and issue a final report of findings within
two business day of review OR when required contact candidate/examinee to return to complete final
testing phases.
RECORDS ADMINISTItA'rION
The consultant shall:
1. Maintain physical custody of all medical records and retain all records relating to Tigard business for at
least 5 years after termination or cancellation of the Agreement or,if later,until any related pending
proceeding or lit.gation has been closed,
2. Archive records per the State's record retention schedule. (Medical records may be maintained by the
consultant electronically,provided the consultant has confirmed the format conforms to specifications
required by City of Tigard for transfer of records.)
3. Warranty that consultant is knowledgeable of HIPAA and the protection of health information
obtained, created, or exchanged as a part of a contract with the City,and shall abide by and implement
I TPAA's statutory requirements.
4. Assist the City,when requested,in responding to claims/appeals that may be filed as a result of
disqualification or conditional pass of an applicant/employee,including but not limited to:
administrative hearings, courts of competent jurisdiction, quasi-legal,and quasi-judicial hearings.
OTHER ON-SITE SERVICES
The consultant may:
1. Provide on-site training as requested by the city in areas such as wellness program training and
support, ergonomics, etc.
2. Provide other services such as ergonomic evaluations, or other related services as agreed upon by the
consultant and the City of Tigard.
3. Provide services related to job task analysis and creation of future physical capacities tests as agreed
upon by the consultant and the City of Tigard.
FEE SCHEDULE
The city shall remunerate the consultant agency as follows:
DOT Medical Exams—New DOT Medical Exams—Recerfifications
DOT Medical Exam-$95.00 DOT Medical Exam-$95.00
Audiogram-$25.00 Audiogram-$25.00
Accucheck-$17.00 Accucheck-$17.00
ECG-$65.00 ECG-$65.00
Record Review Brief-$25.00 Record Review Brief-$25.00
Record Review Extended-$50.00 Record Review Extended-$50.00
Exam Brief Follow-Up-$55.00 Exam Brief Follow-Up-$55.00
No Show DOT Exam Fee,-$95.00 No Show DOT Exam Fee-$95.00
8 Page:
Customer Service Field Worker FBI Candidate Exam
Pre-placement Exam-$85.00 Pre-placement Exam-$85.00
NON DOT Drug Screen Collection-this is billed TB Skin Test-$28.00
directly to BioMed ECG-$65.00
Record Review Brief-$25.00 ECG Stress Treadmill-$250.00
Record Review Extended-$50.00 Company Farms 1-5 pages-$15.00
Exam Brief Follow-Up-$55.00 Record Review Brief-$25.00
No Show Pre-placement Exam Fee-$85.00 Record Review Extended-$50.00
Exam Brief Follow-Up-$55.00
No Show Pre-placement Exam Fee-$85.00
Utility Worker-Parks Utility Worker-All Other
Pre-placement Exam-$85.00 Pre-placement Exam-$85.00
PCT Standard-$63.00 PCT Standard-$63.00
Audiogram-$25.00 Audiogram-$25.00
DOT Qualification-$25 00 DOT Qualification-$25.00
DOT Drug Screen Collection-this is billed directly to DOT Drag Screen Collection-this is billed directly to
BioMed BioMed
Accucheck-$17.00 Accucheck-$17.00
ECG-$65.00 ECG-$65.00
Record Review Brief-$7.5.00 Record Review Brief-$25.00
Record Review Extended-$50.00 Record Review Extended-$50.00
Exam Brief Follow-Up-$55.00 Exam Brief Follow-Up-$55.00
No Show Pre-placement Exam Fee-$85.00 No Show Pre-placement Exam Fee-$85.00
Police Exam-DPSST Fitness for Duty/Return to Work
Exam DPSST-$90.00 FFD/RTW Exam-$125.00
Audiogram-$25.00 Record Review Brief-$25.00
Spirometry-$36.00 Record Review Extended-$50.00
Titmus-$25.00 Exam Brief Follow-Up-$55.00
Ishihara-$10.00 No Show Pre-placement Exam Fee-$125.00
NON DOT Drug Screen Collection-this is billed
directly to BioMed
Venipuncture-$15.00
Comprehensive Metabolic Panel-$33.00
Blood Count-$22.00
Blood Typing ABO-$4"7.00
UA Dip-$20.00
UA Dip w/Micro-$20.01)
Chest X-Ray-$95.00
Record Review Brief-$25.00
Record Review Extended-$50.00
Exam Brief Follow-Up- $55.00
No Show DPSST Exam Fee-$90.00
INVOICING
The consultant shall:
1. Not transmit invoices or test results,which have date of birth and partial social security number,via
electronic systems.
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