25A - AGMT - MEDICAL SRVS REVIEW

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in the ordinary course of Consultant's business operations, nor will the Consultant be required to disclose any information, including but not limited to product cost or pricing data, which Consultant considers confidential or proprietary. 14)Any Agreement changes which are mutually agreed upon by and between the parties shall be incorporated in written amendments to the Agreement. 15) if the circumstances on a particular hearing and /or court proceeding warrant the presence of a competent and knowledgeable representative of the Consultant, in the sole discretion of the City, City will request and Consultant shall provide such representative, at no additional cost to City. Additionally, as part of the medical services review program, Consultant shall: • Maintain a network of qualified and trained medical providers and medical specialists for necessary exams; • Orient City staff in the legal /medicallrisk management and human resources aspects of Consultant services; • Communicate directly with applicants to obtain the confidential medical information that is needed for clearance for a particular job; • Manage all bill review functions for the medical exams performed by clinics; and, • Provide access for City staff to Consultant's tracking system. Depending on job classification, pre - employment and pre- assignment medical examination processes may include: job profile review; review of medical history; check vital signs; detailed vision exam, including check of near /far /peripheral vision, Ishihara 14 and primary color; audiogram (if classification has specific occupational noise exposure or critical hearing demands); chest x -ray; EKG or treadmill stress EKG; Spirometry; chem panel 20; CBC w /diff; dipstick UA, or UA w /Micro (to lab); venipuncture & collection. Individual medical exams, such as post exposure, fit for duty, or other examinations, as needed, may include one or more of the following: • Audiogram • Back X -ray • Blood Lead Level ZZP • Blood screens — 7 panel drug screen • Blood screens -- 9 panel drug screen • Blood chemistry profile (SMA 24 or equivalent) • Complete blood count (CBC w /diff) • Chest X -ray • DMV Physicals • Electrocardiogram • Hepatitis "A" blood screen • Hepatitis "B" blood screen • Hepatitis "B" booster • Hepatitis "B" titer • Hepatitis "B" Vaccine • Hepatitis "A" Vaccine • Hepatitis "C" blood screen • HIV blood screen • Pulmonary function test • Respirator Fit test 25A -7