HomeMy WebLinkAboutAgreement_General_03/16/2009OCCUPATIONAL HEALTH SERVICES
Jupiter Medical Center
1210 S. Old Dixie Hwy.
Jupiter, Florida 33458
Phone: 561-745-5787 /Fax: 561-745-5713
Village of Tequesta
357 Tequesta Drive
Tequesta, Fl 33469
March 05/2009
Dear Joanne,
Jupiter Medical Center Occupational Health Services will be happy to perform the Village of Tequesta Fire Rescue
annual physical exams. Here is a 2009 schedule of fees for your consideration.
Fee Schedule
Complete History & Physical Examination $50.00
Urine Heavy Metal (Arsenic, Mercury, Lead) $51.08
Urinalysis $3.75
Hepatitis B Surface Antibody $20.00
RPR $5.00
HIV $25.00
Comprehensive Metabolic Panel $6.00
Lipid Panel $9.00
C BC $6.00
RBC Cholinesterase $30.00
12 Lead EKG (with Cardiologist Interpretation) $55.00
Audiometry (by certified hearing conservationist) $45.00
Spirometry $45.00
PPD $10.00
Chest X Rays $50.00
*Hepatitis B vaccine (Only If indicated) $80.00 /each
*Urine Drug Screen (New Hires/Random or Reasonable Suspicion) $40.00
*Breath Alcohol (BAT) (Random or Reasonable Suspicion) $40.00
*Arsenic Fractionation (send out lab~only if elevation) $160.00
If these terms are acceptable to you, please sign below and return as soon as possible. If there is anything else we
can do for you, please do not hesitate to contact us at 561-745-5787.
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u epresentative ~
Sincere thanks,
Kathy Davis, RN
Nurse Manager
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