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SERVICE: |
FEE: |
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SERVICE: |
FEE: |
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| General: |
Immunizations: |
| Blood Pressure |
$1 |
Birth
thru 4 years |
$12 |
| HIV
Testing |
$10
|
Ages 5 to Adult |
$14 |
|
Adult Pneumococcal
Vaccine |
Cost + $10 |
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| Laboratory Test |
Hepatitis A Vaccine (19 years+). ** Two shots required |
Cost
+$10 per shot |
| Specific Laboratory Test |
Call for fee |
Hepatitis B Vaccine (20 years+) ** Three shots required |
Cost
+$10 per shot |
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TB Screening Questionnaire |
$10 |
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TB Skin Test |
$10 |
Immunization Record
Replacement: |
Work Site Adult
Immunization Clinic |
Cost plus $10 per shot |
| First Record |
FREE |
Immune-Globulin
Injections |
Cost
+$10 |
| Second Record |
$5 |
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Flu Vaccine
(Adult) |
Cost
+$10 |
| TB Skin Test Record
Only |
$3 |
Flu Vaccine (Child) 6 months to 4years |
$12 |
| Partial Record
Replacement |
$4 (up to two entries) |
Flu Vaccine (Child)
5 years to 18 years |
$14 |
|
Wellness Health w Nurse Practitioner |
Miscellaneous |
| Annual Exam |
Lab+$30 |
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| Cervical Pap Smear |
Lab+$30 |
Vision Screening (Children) |
$5 |
| Family Planning |
Lab+$30 |
Hearing Screening (Children) |
$5 |
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Lab Tests |
Lab+$15 |
Pregnancy Test /
Proof of Pregnancy |
$15 |
| Physical Exam
(School/Daycare) |
$30 |
Lead Screening |
$10 |
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STD Screening/Treatment |
Lab+$30 |
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Routine Lab Test |
Lab+$30 |
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