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Agenda Packet_2022-08-02
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Agenda Packet_2022-08-02
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Agenda Packet
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8/2/2022
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William H. Nuesse, M.D. and Mary Ann Nuesse, D.O., a Medical Corporation <br />dba Sunrise Multispecialist Medical Center <br />Pricing as of May 10, 2022 <br />Exhibit A <br />City of Santa Ana Non -Industrial Medical Services <br />Physicals: <br />Basic Employer Physical (includes UA dip, distance vision, basic color vision) $35.00 <br />Annual Employer Physical (includes UA dip, distance vision, basic color vision) $35.00 <br />Pre -Employment Physical (includes UA dip, distance vision, basic color vision) $35.00 <br />Fit For Duty/Return to Work (MUST have copy ofjob description) $40.00 <br />Commercial Driver Exams $55.00 <br />Respiratory Fit Testine: <br />Respiratory Evaluation (includes: Mask Fit Test, OSHA questionnaire review, PFT) $90.00 <br />PFT $40.00 <br />OSHA Questionnaire Review $25.00 <br />Mask Fit Test $25.00 <br />Drug Screens• <br />Breath Alcohol Test <br />$30.00 <br />5 Panel Rapid <br />$15.00 <br />10 panel Rapid <br />$20.00 <br />9 Panel Non -Dot #1793N <br />$25.00 <br />10 Panel Non -Dot #6633N <br />$30.00 <br />DOT Drug Screen <br />$25.00 <br />MRO Interpretation of Positive Drug Screen <br />$25.00 <br />Drug Screen Collection Only (Not on Sunrise's lab account) <br />$15.00 <br />Vision Testine: <br />Ishihara <br />$10.00 <br />Near Vision <br />$5.00 <br />Jaeger <br />$5.00 <br />Snellen & Basic Color <br />$5.00 <br />Other Services: <br />Audiograms <br />$15.00 <br />Lift Test — Floor to Waist <br />$5.00 <br />Lift Test — Waist to Chest <br />$5.00 <br />EKG <br />$30.00 <br />TB/PPD Skin Test <br />$28.00 <br />City Council 14 — 16 8/2/2022 <br />
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