My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
PACIFIC MEDICAL CLINIC N -2012
Clerk
>
Contracts / Agreements
>
P
>
PACIFIC MEDICAL CLINIC N -2012
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
10/21/2013 11:28:55 AM
Creation date
7/16/2012 2:58:14 PM
Metadata
Fields
Template:
Contracts
Company Name
PACIFIC MEDICAL CLINIC
Contract #
N-2012-078
Agency
PERSONNEL SERVICES
Expiration Date
6/30/2013
Insurance Exp Date
6/6/2013
Destruction Year
2018
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
19
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
EXHIBIT "A" (PAGE 1 OF 1) <br />MEDICAL SERVICES PROVIDER <br />PRE-EMPLOYMENT/MISCELLANEOUS/DOT PRICE SUMMARIES <br /> <br />TYPE OF MEDICAL PROCEDURE ESTIMATED # <br />OF TESTS <br />COST PER TEST ESTIMATED <br />COST <br />CORE 69 $25 $1 , 725 <br />CORE + 22 $30 $660 <br />GROUP 1 7 $145 $1,015 <br />GROUP 11 25 $110 $2,750 <br />DMV 30 $25 $750 <br />TB 105 $8 $840 <br />CHEST X-RAY 15 $15 $225 <br />URINE COLLECTION FEE 125 $10 $1,250 <br />AUDIOGRAM (AS PART OF PRE-EMPLOYMENT <br />MEDICAL <br />100 <br />$8 <br />$800 <br />AUDIOGRAM (SEPARATE FROM PRE- <br />EMPLOYMENT MEDICAL <br />50 <br />$8 <br />$400 <br />BACK X-RAY 2 $30 $60 <br />BLOOD SCREENS 15 $145 $2,175 <br />BLOOD LEAD LEVEL 0 $85 $0 <br />HEPATITIS B - VACCINATION 4 $50 $200 <br />HEPATITIS B - POST VACCINATION 0 $28 $0 <br />HEPATITIS B - BOOSTER 2 $50 $100 <br />DOT PRE-EMPLOYMENT DRUG SCREEN 4 $25 $100 <br />DOT RANDOM DRUG SCREEN 30 $25 $750 <br />DOT RANDOM ALCOHOL SCREEN 10 $18 $180 <br />DOT POST ACCIDENT D&A SCREEN 0 $0 $0 <br />TOTAL COST: $13,980
The URL can be used to link to this page
Your browser does not support the video tag.